Provider Demographics
NPI:1922821834
Name:SEVEN PEAKS FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:SEVEN PEAKS FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:336-846-7770
Mailing Address - Street 1:1109 MOUNT JEFFERSON ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694
Mailing Address - Country:US
Mailing Address - Phone:336-846-7770
Mailing Address - Fax:833-438-0114
Practice Address - Street 1:1109 MOUNT JEFFERSON ROAD
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-2869
Practice Address - Country:US
Practice Address - Phone:336-846-7770
Practice Address - Fax:828-773-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty