Organization
GREENSBORO CARDIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDREW BRACKBILL M.D. (PRESIDENT)
(336) 272-6133
Entity
Organization
Contact information
Practice address
1002 N CHURCH ST, SUITE 103, GREENSBORO, NC 27401-1439
(336) 272-6133
Mailing address
1002 N CHURCH ST, SUITE 103, GREENSBORO, NC 27401-1439
(336) 272-6133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02645
BCBS
—
05
—
8902645
—
NC
Enumeration date
01/22/2007
Last updated
08/22/2020
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