Greensboro Family Medicine Pa | |
104 W Northwood St Suite A Greensboro NC 27401-1326 | |
(336) 790-0519 | |
(336) 691-8977 |
Full Name | Greensboro Family Medicine Pa |
---|---|
Speciality | Internal Medicine |
Location | 104 W Northwood St, Greensboro, North Carolina |
Authorized Official Name and Position | John Joseph Dewar (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 3367900519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greensboro Family Medicine Pa 104 W Northwood St Suite A Greensboro NC 27401-1326 Ph: (336) 790-0519 | Greensboro Family Medicine Pa 104 W Northwood St Suite A Greensboro NC 27401-1326 Ph: (336) 790-0519 |
NPI Number | 1104124155 |
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Provider Enumeration Date | 02/28/2011 |
Last Update Date | 04/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104124155 | NPI | - | NPPES |
87726 | Other | NC | UNITED HEALTH CARE |
142U7 | Other | NC | BCBSNC |
5907415 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 200600668 (North Carolina) | Primary |
363A00000X | Physician Assistant | 001000092 (North Carolina) | Secondary |
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