| Center For Integrated Medicine, Pllc | |
|
3822 N Elm St Ste 102 Greensboro NC 27455-2596 | |
| (336) 541-8120 | |
| (336) 541-8130 |
| Full Name | Center For Integrated Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3822 N Elm St Ste 102, Greensboro, North Carolina |
| Authorized Official Name and Position | Olugbemiga Jegede (NP SUPERVISOR) |
| Authorized Official Contact | 8109089996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrated Medicine, Pllc 3822 N Elm St Ste 102 Greensboro NC 27455-2596 Ph: (336) 541-8120 | Center For Integrated Medicine, Pllc 3822 N Elm St Ste 102 Greensboro NC 27455-2596 Ph: (336) 541-8120 |
| NPI Number | 1194481416 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 1456739952 |
|---|---|
| Medicare Enrollment ID | O20220610001804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194481416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tene Laverne Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972821510 PECOS PAC ID: 4183840093 Enrollment ID: I20191008003837 |
| Provider Name | Susanah Adebola Adegbenjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023880531 PECOS PAC ID: 5890143614 Enrollment ID: I20231204002844 |
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