Provider Demographics
NPI:1487104097
Name:TOP PRIORITY CARE SERVICES, LLC
Entity type:Organization
Organization Name:TOP PRIORITY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:MRS
Authorized Official - First Name:QUAWANA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:336-896-1323
Mailing Address - Street 1:4401 PROVIDENCE LN
Mailing Address - Street 2:SUITE 121
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3226
Mailing Address - Country:US
Mailing Address - Phone:336-896-1323
Mailing Address - Fax:336-896-1327
Practice Address - Street 1:4401 PROVIDENCE LN
Practice Address - Street 2:SUITE 121
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3226
Practice Address - Country:US
Practice Address - Phone:336-896-1323
Practice Address - Fax:336-896-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL034287251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health