Organization
WOMEN'S HEALTH CENTER OF GREENVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GWENDOLYN KNUCKLES MD (OWNER)
(252) 830-1035
Entity
Organization
Contact information
Practice address
2317 A EXECUTIVE PARK CIRCLE, GREENVILLE, NC 27834
(252) 830-1035
(252) 830-0827
Mailing address
2317 A EXECUTIVE PARK CIRCLE, GREENVILLE, NC 27834
(252) 830-1035
(252) 830-0827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9501300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9501300
STATE LICENSE
NC
Enumeration date
12/23/2011
Last updated
12/23/2011
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