Individual
MARVIN PEASAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3703 NATHANS WAY, GREENSBORO, NC 27405-9815
(336) 807-2335
Mailing address
3703 NATHANS WAY, GREENSBORO, NC 27405-9815
(336) 807-2335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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