Provider Demographics
NPI:1962409748
Name:TROYER, ERIC C (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:TROYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LANDIS
Mailing Address - State:NC
Mailing Address - Zip Code:28088-1402
Mailing Address - Country:US
Mailing Address - Phone:704-855-2101
Mailing Address - Fax:704-855-2105
Practice Address - Street 1:107 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LANDIS
Practice Address - State:NC
Practice Address - Zip Code:28088-1402
Practice Address - Country:US
Practice Address - Phone:704-855-2101
Practice Address - Fax:704-855-2105
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8983857Medicaid
NC8983857Medicaid