Integrative Psychological Medicine | |
600 Green Valley Rd Ste 304 Greensboro NC 27408-7722 | |
(337) 676-4060 | |
Not Available |
Full Name | Integrative Psychological Medicine |
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Speciality | Psychiatry & Neurology |
Location | 600 Green Valley Rd Ste 304, Greensboro, North Carolina |
Authorized Official Name and Position | Onoriode Edeh (PSYCHIATRIST) |
Authorized Official Contact | 3366764060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrative Psychological Medicine 6335 Poplar Forest Dr Summerfield NC 27358-9338 Ph: (336) 676-4060 | Integrative Psychological Medicine 600 Green Valley Rd Ste 304 Greensboro NC 27408-7722 Ph: (337) 676-4060 |
NPI Number | 1699381269 |
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Provider Enumeration Date | 09/19/2020 |
Last Update Date | 07/02/2021 |
Certification Date | 07/02/2021 |
Medicare PECOS PAC ID | 9931502457 |
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Medicare Enrollment ID | O20210721002876 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699381269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Onoriode Edeh |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932545167 PECOS PAC ID: 9537466131 Enrollment ID: I20210312001827 |
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