GREENVILLE HEALTH CARE PA NPI 1700323557

NPI Information

GREENVILLE HEALTH CARE PA is a general practice in Greenville, 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 GREENVILLE HEALTH CARE PA NPI is 1700323557. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3121 MOSELEY DR
GREENVILLE, NC
ZIP 27858-245
Phone: (252) 758-4455
Fax: (252) 758-6742

The provider's authorized official is C Lee Quinn .
The authorized official title is President and has the following contact phone number (252) 758-4455.

The CLIA number assigned to this NPI record is 34D0242114 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 1/31/2017.

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

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

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