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GREENSBORO RADIATION ONCOLOGIST PA NPI 1417186297


NPI Information

NPI: 1417186297
Provider Name: GREENSBORO RADIATION ONCOLOGIST, PA

Doing Business As: TRIAD CARDIAC THORACIC SURGERY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
301 E WENDOVER AVE
STE 411
GREENSBORO, NC
ZIP 27401
Phone: (336) 832-3200
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GREENSBORO RADIATION ONCOLOGIST, PA is a specialist in Greensboro, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GREENSBORO RADIATION ONCOLOGIST, PA NPI is 1417186297. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Triad Cardiac Thoracic Surgery.

The provider's business location address is:

301 E WENDOVER AVE
STE 411
GREENSBORO, NC
ZIP 27401-230
Phone: (336) 832-3200
Fax: (336) 482-2177

The provider's authorized official is Matthew A Manning .
The authorized official title is President and has the following contact phone number (336) 832-1100.

The enumeration date for this NPI number is 7/14/2009 and was last updated on 7/14/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1204331MEDICARE PINNORTH CAROLINA
2890167BMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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