Organization
NANCY GREEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DESORMEAU GREEN RN (DIRECTOR)
(704) 633-9747
Entity
Organization
Contact information
Practice address
121 RUGBY RD, SALISBURY, NC 28144-9489
(704) 633-9747
(704) 633-9608
Mailing address
P.O. BOX 1762, SALISBURY, NC 28144-9489
(704) 633-9747
(704) 633-9608
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
175133
NC
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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