Organization
GREENVILLE FAMILY DOCTORS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUENTIN ALEXANDER MEWBORN JR. MD (PRESIDENT)
(252) 752-7133
Entity
Organization
Contact information
Practice address
800 MOYE BLVD STE A, GREENVILLE, NC 27834-3777
(252) 752-7133
(252) 752-6120
Mailing address
800 MOYE BLVD STE A, GREENVILLE, NC 27834-3777
(252) 752-7133
(252) 752-6120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230285
MEDICARE PTAN
NC
05
—
8901678
—
NC
Enumeration date
01/13/2007
Last updated
05/04/2020
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