Individual
ANTHONY PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 752-8880
(252) 317-2092
Mailing address
511 PALADIN DR, GREENVILLE, NC 27834-7826
(252) 752-8880
(252) 317-2092
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2019-01052
NC
Other
Enumeration date
03/24/2015
Last updated
09/03/2020
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