Gregory R South in Kernersville - General Practice

Gregory R South - NPI 1811077142

Gregory R South is a General Practice in Kernersville, North Carolina. Gregory R South practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory R South is 1811077142. The last update date is 2007-07-08.

Gregory R South's current location address is 112 Harmon Lane, Kernersville, North Carolina. You can contact this provider via phone number 3369933751 and fax number 3369936601. The mailing address for Gregory R South is 112 Harmon Lane, Kernersville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory R South
Address 112 Harmon Lane, Kernersville, North Carolina
Phone Number 3369933751
Fax Number 3369936601
Sole Proprietor N
Credentials DMD PA

NPI Number Detail

NPI Number 1811077142
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 112 Harmon Lane
City Kernersville
State North Carolina (NC)
Post Code 27284
Phone Number 3369933751
Fax Number 3369936601

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Gregory R South

What is the unique 10-digit identification code issued to Gregory R South by the Centers for Medicare & Medicaid Services?

The Gregory R South has been assigned the NPI (National Provider Identifier) 1811077142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Gregory R South's facilities are geographically located?

The facilities of Gregory R South are physically situated at the following location: 112 Harmon Lane, Kernersville, NC, 27284.

What is Gregory R South's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory R South is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Gregory R South receive the assignment of its 1811077142 from the Centers for Medicare & Medicaid Services?

The Gregory R South was issued its 1811077142 by the Centers for Medicare & Medicaid Services on 2006-10-17.

As of what date were the details related to Gregory R South most recently updated or revised?

The information pertaining to Gregory R South, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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