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Individual

HOPE MARSHA GRUBER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
510 N ELAM AVE, SUITE 303, GREENSBORO, NC 27403-1150
(336) 632-9272
(336) 632-1411
Mailing address
510 N ELAM AVE, SUITE 303, GREENSBORO, NC 27403-1150
(336) 632-9272
(336) 632-1411

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31519
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0138A
BCBS
NC
01
070016347
RR MEDICARE
NC
01
562002643
CIGNA UHC
NC
05
8937835
NC
Enumeration date
12/27/2005
Last updated
07/08/2007
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