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

The Modern Country Doctor, LLC

Organization Family Medicine Physician · NPI 1225650930

The Modern Country Doctor, LLC is a Family Medicine Physician in Paoli, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 Industrial Blvd Ste D
Paoli, PA 19301-1601
Phone: (610) 890-8522
Fax: (484) 568-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1225650930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Faith — Owner · (610) 890-8522
NPI enumeratedMay 15, 2020
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing address23 Industrial Blvd Ste D, Paoli, PA 19301-1601

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