| Bland Clinic, Pa | |
|
1317 N Elm St Suite 7 Greensboro NC 27401-1033 | |
| (336) 373-1557 | |
| (336) 373-1742 |
| Full Name | Bland Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1317 N Elm St, Greensboro, North Carolina |
| Authorized Official Name and Position | Veita Joyce Bland (PHYSICIAN AND CEO) |
| Authorized Official Contact | 3363731557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bland Clinic, Pa Po Box 29364 Greensboro NC 27429-9364 Ph: (336) 373-1557 | Bland Clinic, Pa 1317 N Elm St Suite 7 Greensboro NC 27401-1033 Ph: (336) 373-1557 |
| NPI Number | 1477664001 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/12/2013 |
| Medicare PECOS PAC ID | 6800790452 |
|---|---|
| Medicare Enrollment ID | O20090127000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477664001 | NPI | - | NPPES |
| 89018C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26492 (North Carolina) | Primary |
| Provider Name | Veita Joyce Bland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083675433 PECOS PAC ID: 0042114696 Enrollment ID: I20031209000807 |
| Provider Name | Gerald Keneth Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114971009 PECOS PAC ID: 5496664856 Enrollment ID: I20080410000687 |
| Provider Name | Kathryn L Strup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881243558 PECOS PAC ID: 2567890346 Enrollment ID: I20200309002044 |
| Provider Name | Anjanette M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053610170 PECOS PAC ID: 0547608762 Enrollment ID: I20240409000271 |
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