Organization
VIDANT MEDICAL GROUP AFFILIATES LLC
Active
Parent organization
VIDANT MEDICAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDANT MEDICAL GROUP LLC
Authorized official
MR. ANDREW K ZUKOWSKI (CFO)
(252) 847-4582
Entity
Organization
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-2181
(252) 847-2213
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-2181
(252) 847-2213
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
06/07/2023
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