Alpha Clinics, Pa | |
3231 Yanceyville St Greensboro NC 27405-4043 | |
(336) 358-1528 | |
(336) 358-1582 |
Full Name | Alpha Clinics, Pa |
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Speciality | Internal Medicine |
Location | 3231 Yanceyville St, Greensboro, North Carolina |
Authorized Official Name and Position | Edwin Aziegbe Avbuere (MEDICAL DIRECTOR) |
Authorized Official Contact | 3363581528 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alpha Clinics, Pa 3231 Yanceyville St Greensboro NC 27405-4043 Ph: (336) 358-1528 | Alpha Clinics, Pa 3231 Yanceyville St Greensboro NC 27405-4043 Ph: (336) 358-1528 |
NPI Number | 1326364837 |
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Provider Enumeration Date | 04/09/2010 |
Last Update Date | 04/09/2010 |
Medicare PECOS PAC ID | 2961531264 |
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Medicare Enrollment ID | O20100525000774 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326364837 | NPI | - | NPPES |
891309K | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2001-01168 (North Carolina) | Primary |
Provider Name | Edwin Aziegbe Avbuere |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013019470 PECOS PAC ID: 0244369593 Enrollment ID: I20100525000112 |
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