Organization
GREENSBORO MEDICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SHANE ANDERSON M.D. (M.D.)
(336) 373-0611
Entity
Organization
Contact information
Practice address
1511 WESTOVER TER, SUITE 201, GREENSBORO, NC 27408-7128
(336) 373-0611
(336) 373-1589
Mailing address
1511 WESTOVER TER, SUITE 201, GREENSBORO, NC 27408-7128
(336) 373-0611
(336) 373-1589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901670
—
NC
Enumeration date
04/11/2006
Last updated
03/16/2015
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