GREEN VALLEY OB/GYN NPI 1497155857

NPI Information

GREEN VALLEY OB/GYN is an obstetrics obstetrics gynecology in Greensboro, NC. GREEN VALLEY OB/GYN NPI is 1497155857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

719 GREEN VALLEY RD
SUITE 201
GREENSBORO, NC
ZIP 27408-014
Phone: (336) 378-1110
Fax: (336) 378-9986

The provider's authorized official is Kathryn Garrett .
The authorized official title is Director, Managed Care and has the following contact phone number (561) 300-2410.

The CLIA number assigned to this NPI record is 34D0238937 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/3/2014 and was last updated on 9/3/2014.

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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