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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