Organization
GREENVILLE FAMILY DOCTORS PA
Active
Parent organization
MEDVANTX, INC.
Other names
Greenville Family Doctors
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
2210 HEMBY LN, SUITE 105, GREENVILLE, NC 27834-3789
(252) 754-6620
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
16423
NC
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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