# GREENVILLE EXPRESS CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477717312
- **Authorized official:** MR. DONALD ALAN RIBEIRO M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (252) 413-0720

## Contact information

- **Practice address:** 615 S MEMORIAL DR, GREENVILLE, NC 27834-2856
- **Practice address phone:** (252) 413-0720
- **Mailing address:** PO BOX 30965, GREENVILLE, NC 27833-0965
- **Mailing address phone:** (252) 413-0720

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 10/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0170A | BCBS OF NC | NC |
| 05 | — | 8971512 | — | NC |