Individual
MS. COURTNEY FORCUCCI OLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3903 N ELM ST, GREENSBORO, NC 27455-2877
(336) 716-2255
Mailing address
5928 W FRIENDLY AVE, GREENSBORO, NC 27410-3265
(803) 493-5630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0010-05668
NC
363A00000X
Physician Assistant
Primary
0010-05668
NC
Other
Enumeration date
04/07/2015
Last updated
07/16/2019
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