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

Old Town Family Medicine, P A

Organization Clinic/Center · NPI 1447370101

Old Town Family Medicine, P A is a Clinic/Center in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

3690 Reynolda Rd
Winston Salem, NC 27106-2230
Phone: (336) 922-1363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 39614 (NC)

Record details

NPI number1447370101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Herber — President · (336) 922-1363
NPI enumeratedMarch 29, 2007
Last updated in NPPESJanuary 26, 2012
Mailing address3690 Reynolda Rd, Winston Salem, NC 27106-2230

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