Ms Mandesia Rochelle Hairston, FNP-BC | |
605 College Rd, Greensboro, NC 27410-4101 | |
(866) 389-2727 | |
Not Available |
Full Name | Ms Mandesia Rochelle Hairston |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 605 College Rd, Greensboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508376914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5009956 (North Carolina) | Primary |
Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
Entity Name | County Of Guilford |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245272657 PECOS PAC ID: 0941285092 Enrollment ID: O20151006001929 |
Mailing Address | Practice Location Address |
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Ms Mandesia Rochelle Hairston, FNP-BC 605 College Rd, Greensboro, NC 27410-4101 Ph: () - | Ms Mandesia Rochelle Hairston, FNP-BC 605 College Rd, Greensboro, NC 27410-4101 Ph: (866) 389-2727 |
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