| Greenville Health Care Pa | |
|
3121 Moseley Dr Greenville NC 27858-4245 | |
| (252) 758-4455 | |
| (252) 758-6742 |
| Full Name | Greenville Health Care Pa |
|---|---|
| Speciality | General Practice |
| Location | 3121 Moseley Dr, Greenville, North Carolina |
| Authorized Official Name and Position | C Lee Quinn (PRESIDENT) |
| Authorized Official Contact | 2527584455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Health Care Pa 3121 Moseley Dr Greenville NC 27858-4245 Ph: (252) 758-4455 | Greenville Health Care Pa 3121 Moseley Dr Greenville NC 27858-4245 Ph: (252) 758-4455 |
| NPI Number | 1700323557 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Medicare PECOS PAC ID | 3173892841 |
|---|---|
| Medicare Enrollment ID | O20170712001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700323557 | NPI | - | NPPES |
| Provider Name | Donna M Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194700153 PECOS PAC ID: 2668401787 Enrollment ID: I20050809000954 |
| Provider Name | Kimberly Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275290231 PECOS PAC ID: 2062807894 Enrollment ID: I20220315000519 |
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