Family Medicine At Revolution Mill | |
1591 Yanceyville St Suite 200 Greensboro NC 27405-6941 | |
(336) 232-0180 | |
Not Available |
Full Name | Family Medicine At Revolution Mill |
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Speciality | Family Medicine |
Location | 1591 Yanceyville St, Greensboro, North Carolina |
Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
Authorized Official Contact | 7043849094 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medicine At Revolution Mill Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Family Medicine At Revolution Mill 1591 Yanceyville St Suite 200 Greensboro NC 27405-6941 Ph: (336) 232-0180 |
NPI Number | 1770735508 |
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Provider Enumeration Date | 10/10/2008 |
Last Update Date | 03/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770735508 | NPI | - | NPPES |
5950463 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (North Carolina) | Primary |
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