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Individual

DR. MARY E GEOROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
706 GREEN VALLEY RD, SUITE 104, GREENSBORO, NC 27408-7038
(336) 387-2500
(336) 387-2568
Mailing address
1256 THAYER DR, ASHEBORO, NC 27205-4143
(336) 387-2500
(336) 387-2568

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200501224
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528046562
NC
05
260797200
FL
Enumeration date
01/09/2006
Last updated
01/12/2016
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