Individual
MICHAEL DAVID TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(252) 752-5000
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 752-5000
(252) 931-7694
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
00-26607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560994806S
CIGNA
NC
01
—
83754
BCBSNC
NC
05
—
8983754
—
NC
Enumeration date
11/15/2005
Last updated
12/20/2022
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