Organization
EVERGREEN HEALTH PROMOTION,P.A.
Active
Organization
EVERGREEN HEALTH PROMOTION,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI HANNA GREENBERG (PRACTICE ADMINISTRATOR)
(336) 659-0020
Entity
Organization
Contact information
Practice address
1365 WESTGATE CENTER DR, STE G1, WINSTON SALEM, NC 27103
(336) 659-6250
(336) 659-6250
Mailing address
1365 WESTGATE CENTER DR, STE G1, WINSTON SALEM, NC 27103
(336) 659-6250
(336) 659-6239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916312
—
NC
Enumeration date
08/10/2006
Last updated
09/22/2022
Update your record
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