Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Archdale Family Practice PA

Organization Family Medicine Physician · NPI 1396049060

Archdale Family Practice PA is a Family Medicine Physician in Archdale, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11635 N Main St Ste E
Archdale, NC 27263-3271
Phone: (336) 861-4110
Fax: (336) 861-4295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30119 (NC)

Record details

NPI number1396049060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Beck — Owner · (336) 861-4110
NPI enumeratedJanuary 10, 2011
Last updated in NPPESMarch 11, 2011
Mailing address11635 N Main St Ste E, Archdale, NC 27263-3271

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