Organization
MOSES CONE AFFILIATED PHYSICIANS, INC.
Active
Organization
MOSES CONE AFFILIATED PHYSICIANS, INC.
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
Preston S. Clark, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
MR. KENNETH K BOGGS (CFO/TREASURER)
(336) 832-8005
Entity
Organization
Contact information
Practice address
1200 NORTH ELM STREET, MOSES CONE HEALTH SYSTEM-ADMINISTRATIVE SVC, STE. 201, GREENSBORO, NC 27401-1020
(336) 832-8005
(336) 832-8272
Mailing address
1200 NORTH ELM STREET, MOSES CONE HEALTH SYSTEM-ADMINISTRATIVE SVC. STE. 201, GREENSBORO, NC 27401-1020
(336) 832-8005
(336) 832-8272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914946
—
NC
Enumeration date
07/15/2010
Last updated
02/14/2011
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