Organization
NOVA NEUROSURGICAL, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN YOUNG (PRACTICE ADMINISTRATOR)
(336) 272-4578
Entity
Organization
Contact information
Practice address
1130 N CHURCH ST, SUITE 200, GREENSBORO, NC 27401-1008
(336) 272-4578
(336) 272-5931
Mailing address
PO BOX 4428, GREENSBORO, NC 27404-4428
(336) 272-4578
(336) 272-5931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02400
BLUE CROSS
NC
05
—
8902400
—
NC
Enumeration date
11/04/2005
Last updated
07/01/2013
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