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Organization

NORTHERN GREENBRIER HEALTH CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG CURRY (CEO)
(304) 645-7872
Entity
Organization

Contact information

Practice address
RT 9 SINKING CREEK RD, WILLIAMSBURG, WV 24991-0010
(304) 645-7872
(304) 645-7873
Mailing address
PO BOX 10, WILLIAMSBURG, WV 24991-0010
(304) 645-7872
(304) 645-7873

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001709718
BC/BS
WV
05
0035057000
WV
01
205018
CARELINK
WV
01
51D0233805
CLIA
WV
01
N09253271
PALMETTO GBA
WV
Enumeration date
09/11/2006
Last updated
12/16/2010
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