Organization
TRIAD WOMEN'S CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR ELAINE GREENE MD (PRESIDENT)
(336) 841-6574
Entity
Organization
Contact information
Practice address
4510 PREMIER DR, SUITE 102, HIGH POINT, NC 27265-8193
(336) 841-6574
(336) 841-6906
Mailing address
4510 PREMIER DR, SUITE 102, HIGH POINT, NC 27265-8193
(336) 841-6574
(336) 841-6906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017UR
BS GROUP
NC
01
—
141XT
BC/BS PIN #
NC
01
—
37039
BC/BS PIN #
NC
05
—
5902270
—
NC
05
—
8937039
—
NC
Enumeration date
03/24/2006
Last updated
02/19/2009
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