Organization
CARDIOVASCULAR AND THORACIC SURGEONS OF GREENSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH S WARD (CHIEF FINANCIAL OFFICER)
(336) 832-8005
Entity
Organization
Contact information
Practice address
2704 HENRY ST, GREENSBORO, NC 27405-3633
(336) 621-3777
(336) 621-8374
Mailing address
PO BOX 13605, GREENSBORO, NC 27415-3605
(336) 832-9943
(336) 832-8272
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01178
BCBS GROUP NUMBER
—
05
—
8901178
—
NC
Enumeration date
04/21/2006
Last updated
03/25/2008
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