Organization
GREENSBORO DIABETES SELF CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERION A GODWIN (OFFICE MANAGER)
(336) 378-1076
Entity
Organization
Contact information
Practice address
1002 N CHURCH ST, SUITE 400, GREENSBORO, NC 27401-1439
(336) 378-1076
(336) 378-0867
Mailing address
1002 N CHURCH ST, SUITE 400, GREENSBORO, NC 27401-1439
(336) 378-1076
(336) 378-0867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046X5
BCBS
NC
05
—
890174A
—
NC
Enumeration date
07/01/2006
Last updated
12/05/2007
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