| The Greenville Md | |
|
2317 Executive Park Circle Suite A Greenville NC 27834 | |
| (252) 689-2273 | |
| Not Available |
| Full Name | The Greenville Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2317 Executive Park Circle, Greenville, North Carolina |
| Authorized Official Name and Position | Maciej Szalkowski (OWNER) |
| Authorized Official Contact | 2526892273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Greenville Md 2317 Executive Park Circle Suite A Greenville NC 27834 Ph: (252) 689-2273 | The Greenville Md 2317 Executive Park Circle Suite A Greenville NC 27834 Ph: (252) 689-2273 |
| NPI Number | 1528464997 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 4486971959 |
|---|---|
| Medicare Enrollment ID | O20150320001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528464997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maciej Szalkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912081720 PECOS PAC ID: 7416131784 Enrollment ID: I20110411000656 |
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