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1002 N Church St Suite 201 Greensboro NC 27401-1439 | |
| (336) 378-0713 | |
| (336) 273-9060 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1002 N Church St, Greensboro, North Carolina |
| Authorized Official Name and Position | Terri S. Jones (DIRECTOR, EAGLE BUSINESS SERVICES) |
| Authorized Official Contact | 3362683201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 14883 Greensboro NC 27415-4883 Ph: (336) 378-0713 | 1002 N Church St Suite 201 Greensboro NC 27401-1439 Ph: (336) 378-0713 |
| NPI Number | 1073698502 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073698502 | NPI | - | NPPES |
| 0190J | Other | NC | BCBS OF NC GROUP |
| 790190C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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