Individual
INDIA BLAIRE HANVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E WENDOVER AVE STE 400, GREENSBORO, NC 27401-1207
(336) 832-3150
(919) 966-8419
Mailing address
301 E WENDOVER AVE STE 400, GREENSBORO, NC 27401-1207
(336) 832-3150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-00637
NC
390200000X
Student in an Organized Health Care Education/Training Program
227073
NC
Other
Enumeration date
05/02/2017
Last updated
06/15/2020
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