Individual
ERIC A MANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9801369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126MC
BLUE CROSS BLUE SHIELD
NC
05
—
1427032606
—
VA
01
—
1601142
UNITED HEALTHCARE
NC
01
—
300138325
RAILROAD MEDICARE
NC
01
—
36255
PARTNERS
NY
05
—
89126MC
—
NC
01
—
C2904
MEDCOST
NC
Enumeration date
12/01/2005
Last updated
10/01/2025
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