GENERAL MEDICAL CLINIC PA NPI 1871522003

NPI Information

GENERAL MEDICAL CLINIC, PA is a primary care clinic center in Greensboro, NC. GENERAL MEDICAL CLINIC, PA NPI is 1871522003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2003 BOULEVARD ST STE C
GREENSBORO, NC
ZIP 27407-579
Phone: (336) 633-0407
Fax: (336) 633-0410

The provider's authorized official is Tarshia Donnell .
The authorized official title is Regional Director and has the following contact phone number (336) 301-4264.

The CLIA number assigned to this NPI record is 34D2223819 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 12/7/2023.

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:

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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