VIDANT MEDICAL GROUP AFFILIATES LLC NPI 1437549896

NPI Information

VIDANT MEDICAL GROUP AFFILIATES LLC is a multi-specialty clinic center in Greenville, NC. VIDANT MEDICAL GROUP AFFILIATES LLC NPI is 1437549896. The provider is registered as an organization entity type.

The provider's business location address is:

2100 STANTONSBURG RD
GREENVILLE, NC
ZIP 27834-818
Phone: (252) 847-2181
Fax: (252) 847-2213

The provider's authorized official is Andrew K Zukowski .
The authorized official title is Cfo and has the following contact phone number (252) 847-4582.

The CLIA number assigned to this NPI record is 34D0242025 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/23/2015 and was last updated on 6/7/2023.

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:

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