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Organization

VIVA MED PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY BLOUNT (CREDENTIALING DEPARTMENT)
(252) 402-5317
Entity
Organization

Contact information

Practice address
705 WH SMITH BLVD, GREENVILLE, NC 27834-3752
(252) 329-8482
Mailing address
705 WH SMITH BLVD, GREENVILLE, NC 27834-3752
(252) 329-8482

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/10/2019
Last updated
02/27/2023
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