Organization
GREENSBORO HEART CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GUIDRY (CEO)
(704) 708-6610
Entity
Organization
Contact information
Practice address
1331 N ELM ST, GREENSBORO, NC 27401-6302
(336) 373-9393
(336) 373-0403
Mailing address
10720 SIKES PL, SUITE 300, CHARLOTTE, NC 28277-8141
(704) 708-6610
(888) 401-6931
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014GG
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
04/01/2008
Last updated
04/08/2009
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