Organization
GREENSBORO ADULT AND ADOLESCENT INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY WELCH (MANAGER)
(336) 378-9906
Entity
Organization
Contact information
Practice address
1511 WESTOVER TER, GREENSBORO, NC 27408-7128
(336) 378-9906
(336) 273-7495
Mailing address
1511 WESTOVER TER, GREENSBORO, NC 27408-7128
(336) 378-9906
(336) 273-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890218R
—
NC
Enumeration date
07/03/2006
Last updated
10/23/2014
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