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Organization

GENERAL MEDICAL CLINIC, PA

Active
Find providers by NPI
Organization

GENERAL MEDICAL CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARSHIA DONNELL (REGIONAL DIRECTOR)
(336) 301-4264
Entity
Organization

Contact information

Practice address
2003 BOULEVARD ST STE C, GREENSBORO, NC 27407-4579
(336) 633-0407
(336) 633-0410
Mailing address
PO BOX 788, GREENSBORO, NC 27402-0788
(336) 301-4264
(336) 633-0407

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
Primary
9700286
NC
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
07/01/2006
Last updated
12/07/2023
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