| Greenbrook Tms North Raleigh Llc | |
|
701 Exposition Pl Ste 201 Raleigh NC 27615-3359 | |
| (855) 910-4867 | |
| (855) 920-4867 |
| Full Name | Greenbrook Tms North Raleigh Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Exposition Pl Ste 201, Raleigh, North Carolina |
| Authorized Official Name and Position | Nicole E Lowry (REGIONAL MANAGER) |
| Authorized Official Contact | 4102598193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Tms North Raleigh Llc 8405 Greensboro Dr Suite 120 Mc Lean VA 22102-5104 Ph: (855) 910-4867 | Greenbrook Tms North Raleigh Llc 701 Exposition Pl Ste 201 Raleigh NC 27615-3359 Ph: (855) 910-4867 |
| NPI Number | 1619429388 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 6507147394 |
|---|---|
| Medicare Enrollment ID | O20170110002845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619429388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Waheed K Bajwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487607123 PECOS PAC ID: 6002831799 Enrollment ID: I20051012000019 |
| Provider Name | Muhammad U Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215197900 PECOS PAC ID: 4385710805 Enrollment ID: I20080908000356 |
| Provider Name | Kellie M Tolin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851373765 PECOS PAC ID: 4082767330 Enrollment ID: I20090804000164 |
| Provider Name | Bryan G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053594192 PECOS PAC ID: 6800068123 Enrollment ID: I20111011000277 |
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