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GREENSBORO FAMILY MEDICINE PA NPI 1104124155


NPI Information

NPI: 1104124155
Provider Name: GREENSBORO FAMILY MEDICINE PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
104 W NORTHWOOD ST
SUITE A
GREENSBORO, NC
ZIP 27401
Phone: (336) 790-0519
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GREENSBORO FAMILY MEDICINE PA is an internal medicine in Greensboro, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GREENSBORO FAMILY MEDICINE PA NPI is 1104124155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 W NORTHWOOD ST
SUITE A
GREENSBORO, NC
ZIP 27401-326
Phone: (336) 790-0519
Fax: (336) 691-8977

The provider's authorized official is John Joseph Dewar .
The authorized official title is Physician Assistant and has the following contact phone number (336) 790-0519.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 4/13/2011.


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
1363A00000XPhysician Assistant001000092NORTH CAROLINANo
2207R00000XInternal Medicine200600668NORTH CAROLINAYes

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
187726OTHERNORTH CAROLINAUNITED HEALTH CARE
25907415MEDICAIDNORTH CAROLINA
3142U7OTHERNORTH CAROLINABCBSNC
4P61329MEDICARE UPINTEXAS

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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