GAA CLINIC LLC NPI 1215468269

NPI Information

GAA CLINIC LLC is a general practice in Greensboro, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GAA CLINIC LLC NPI is 1215468269. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4009 W WENDOVER AVE
GREENSBORO, NC
ZIP 27407-904
Phone: (336) 389-3889
Fax: (336) 851-1418

The provider's authorized official is Harold Dean Green .
The authorized official title is Member / Manager and has the following contact phone number (336) 389-3889.

The CLIA number assigned to this NPI record is 34D2110958 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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