# MOSES CONE PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417467275
- **Legal business name:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Authorized official:** KIELI ASHTON FORBES (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (336) 832-7764

## Contact information

- **Practice address:** 2525C PHILLIPS AVE, GREENSBORO, NC 27405-5357
- **Practice address phone:** (336) 832-7861
- **Mailing address:** 1200 NORTH ELM STREET, GREENSBORO, NC 27401-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 10/06/2017