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Organization

GREENBRIAR PRIMARY CARE, PA

Active
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Organization

GREENBRIAR PRIMARY CARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY L KEIGHRON NP (PRESIDENT)
(704) 873-4484
Entity
Organization

Contact information

Practice address
308-C MOCKSVILLE HIGHWAY, STATESVILLE, NC 28625
(704) 873-4484
(704) 873-4485
Mailing address
308-C MOCKSVILLE HIGHWAY, STATESVILLE, NC 28625-8267
(704) 873-4484
(704) 873-4485

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201255
NC

Other

Enumeration date
06/08/2009
Last updated
08/21/2009
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