Organization
GREENVILLE PEDIATRIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MEADOWS (MANAGER)
(252) 752-7141
Entity
Organization
Contact information
Practice address
300 BETHESDA DR, GREENVILLE, NC 27834-7218
(252) 752-7141
(252) 752-0223
Mailing address
300 BETHESDA DR, GREENVILLE, NC 27834-7218
(252) 752-7141
(252) 752-0223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01682
BLUE CROSS BLUE SHIELD OF
NC
05
—
8901682
—
NC
Enumeration date
03/17/2006
Last updated
06/09/2008
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