Greenbriar Primary Care, Pa

NPI 1477789147 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1477789147
Enumeration Date 06/08/2009
Last Updated 08/21/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JUDY L JUDY
Position PRESIDENT
Phone (704) 873-4484
Fax (704) 873-4485
Practice Location
308-C MOCKSVILLE HIGHWAY
STATESVILLE NC, 28625, US
Phone (704) 873-4484
Fax (704) 873-4485
Business Location
308-C MOCKSVILLE HIGHWAY
STATESVILLE NC, 28625-8267, US
Phone (704) 873-4484
Fax (704) 873-4485
Toxanomy
Taxonomy Code 363LF0000X
License State North Carolina
License Number 201255
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According to our database, Greenbriar Primary Care, Pa NPI is 1477789147, taxonomy code is 363LF0000X and license number is 201255, license state is located at North Carolina. Greenbriar Primary Care, Pa physically located at 308-c Mocksville Highway, Statesville NC, 28625. NPI Number 1033115704 has the healthcare provider type.

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1477789147 NPI number is provided on an as is basis without warranty of any kind. 1477789147 is maintained by the National Plan & Provider Enumeration System. The contents of Greenbriar Primary Care, Pa are for informational purposes only.