Organization
GREENBRIER CLINIC, INC.
Active
Organization
GREENBRIER CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
N ED JONES (ADMINISTRATOR)
(304) 536-4870
Entity
Organization
Contact information
Practice address
320 WEST MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010
Mailing address
320 WEST MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2414
(304) 536-4870
(304) 536-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB4426
RAILROAD PTAN
WV
Enumeration date
06/03/2006
Last updated
01/09/2008
Update your record
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