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MUSTARD SEED COMMUNITY HEALTH NPI 1538538509


NPI Information

NPI: 1538538509
Provider Name: MUSTARD SEED COMMUNITY HEALTH
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2106597

Address:
238 S ENGLISH ST
GREENSBORO, NC
ZIP 27401
Phone: (336) 763-0814
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MUSTARD SEED COMMUNITY HEALTH 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. MUSTARD SEED COMMUNITY HEALTH NPI is 1538538509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

238 S ENGLISH ST
GREENSBORO, NC
ZIP 27401-648
Phone: (336) 763-0814
Fax: (336) 763-0815

The provider's authorized official is Elizabeth Marie Mulberry .
The authorized official title is Medical Director and has the following contact phone number (336) 314-5489.

The CLIA number assigned to this NPI record is 34D2106597 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/21/2015 and was last updated on 4/4/2018.


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
1207R00000XInternal Medicine200001414NORTH CAROLINAYes
2208000000XPediatrics200001414NORTH CAROLINANo

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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