Mustard Seed Community Health | |
238 S English St Greensboro NC 27401-3648 | |
(336) 763-0814 | |
(336) 763-0815 |
Full Name | Mustard Seed Community Health |
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Speciality | Internal Medicine |
Location | 238 S English St, Greensboro, North Carolina |
Authorized Official Name and Position | Elizabeth Marie Mulberry (MEDICAL DIRECTOR) |
Authorized Official Contact | 3363145489 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mustard Seed Community Health 238 S English St Greensboro NC 27401-3648 Ph: (336) 763-0814 | Mustard Seed Community Health 238 S English St Greensboro NC 27401-3648 Ph: (336) 763-0814 |
NPI Number | 1538538509 |
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Provider Enumeration Date | 09/21/2015 |
Last Update Date | 04/04/2018 |
Medicare PECOS PAC ID | 1153696513 |
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Medicare Enrollment ID | O20171011000868 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538538509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 200001414 (North Carolina) | Primary |
208000000X | Pediatrics | 200001414 (North Carolina) | Secondary |
Provider Name | Elizabeth M Mulberry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043398969 PECOS PAC ID: 3678669371 Enrollment ID: I20071010000747 |
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