Organization
MOSES CONE AFFILIATED PHYSICIANS, INC.
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
Guilford Neurologic Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
MR. ROBERT LEE GOLDSTEIN (EXECUTIVE VICE PRESIDENT)
(336) 832-6250
Entity
Organization
Contact information
Practice address
912 3RD ST, SUITE 101, GREENSBORO, NC 27405-6967
(336) 273-2511
(336) 370-0287
Mailing address
PO BOX 29568, GREENSBORO, NC 27429-9568
(336) 273-2511
(336) 370-0287
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027VR
BCBSNC
NC
05
—
5922272
—
NC
Enumeration date
01/17/2013
Last updated
03/05/2013
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