Organization
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Active
Other names
Cone , Annie Penn, Randolph Cancer Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L KITZMILLER (ASSISTANT TREASURER)
(336) 832-7579
Entity
Organization
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-1100
Mailing address
PO BOX 405633, ATLANTA, GA 30384-5633
(336) 832-7579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NC
207RH0000X
Hematology (Internal Medicine) Physician
—
NC
207RH0003X
Hematology & Oncology Physician
—
NC
207RI0200X
Infectious Disease Physician
—
NC
207RX0202X
Medical Oncology Physician
—
NC
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
NC
363L00000X
Nurse Practitioner
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265589097
—
NC
Enumeration date
01/04/2007
Last updated
09/19/2014
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