Organization
GREENVILLE SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY RUSSELL HASTINGS M.D. (OWNER/PHYSICIAN)
(252) 754-8370
Entity
Organization
Contact information
Practice address
1011 W H SMITH BLVD, SUITE 100, GREENVILLE, NC 27834-3787
(252) 754-8370
(252) 754-8387
Mailing address
1011 W H SMITH BLVD, SUITE 100, GREENVILLE, NC 27834-3787
(252) 754-8370
(252) 754-8387
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9800894
NC
2086S0129X
Vascular Surgery Physician
9800894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891149V
—
NC
Enumeration date
11/08/2007
Last updated
10/29/2010
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