is a Medical Specialty in Greensboro, North Carolina. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for is 1154588036. The last update date is .
's current location address is 3625 N Elm St Ste 120, Greensboro, North Carolina. You can contact this provider via phone number 3366178645 and fax number 3366178646. The mailing address for is 3625 N Elm St Ste 120, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3625 N Elm St Ste 120, Greensboro, North Carolina |
| Phone Number | 3366178645 |
| Fax Number | 3366178646 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154588036 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3625 N Elm St Ste 120 |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274552696 |
| Phone Number | 3366178645 |
| Fax Number | 3366178646 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 2008-00266 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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