Infinite Allure Pllc | |
802 Green Valley Rd Ste 108 Greensboro NC 27408-7099 | |
(336) 355-5535 | |
Not Available |
Full Name | Infinite Allure Pllc |
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Speciality | Family Medicine |
Location | 802 Green Valley Rd Ste 108, Greensboro, North Carolina |
Authorized Official Name and Position | Phillip Micheal Hobbs (MANAGING PARTNER) |
Authorized Official Contact | 2527175746 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinite Allure Pllc 802 Green Valley Rd Ste 108 Greensboro NC 27408-7099 Ph: (336) 355-5535 | Infinite Allure Pllc 802 Green Valley Rd Ste 108 Greensboro NC 27408-7099 Ph: (336) 355-5535 |
NPI Number | 1477173482 |
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Provider Enumeration Date | 04/20/2020 |
Last Update Date | 10/26/2022 |
Medicare PECOS PAC ID | 3274943576 |
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Medicare Enrollment ID | O20201027001885 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477173482 | NPI | - | NPPES |
Provider Name | Michael Simpson Diamond |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1710144290 PECOS PAC ID: 9234378639 Enrollment ID: I20130614000626 |
Provider Name | Landon T Williams |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376835033 PECOS PAC ID: 2163722885 Enrollment ID: I20151202002527 |
Provider Name | Phillip Michael Hobbs |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1851611834 PECOS PAC ID: 3375779101 Enrollment ID: I20160711000826 |
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