Individual
TRICIA MARIE GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7954
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7954
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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