| Greenville Medical Care Pa | |
|
402 S Memorial Dr Greenville NC 27834-1681 | |
| (252) 757-0004 | |
| (252) 757-0095 |
| Full Name | Greenville Medical Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 402 S Memorial Dr, Greenville, North Carolina |
| Authorized Official Name and Position | Bruce D Mccrea (OWNER) |
| Authorized Official Contact | 2527570004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Medical Care Pa 402 S Memorial Dr Po Box 8265 Greenville NC 27834-1681 Ph: (252) 757-0004 | Greenville Medical Care Pa 402 S Memorial Dr Greenville NC 27834-1681 Ph: (252) 757-0004 |
| NPI Number | 1831341866 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Medicare PECOS PAC ID | 1759431430 |
|---|---|
| Medicare Enrollment ID | O20090618000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831341866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce Donald Mccrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083778914 PECOS PAC ID: 5395895072 Enrollment ID: I20090618000503 |
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