Organization
GREENBROOK TMS GREENSBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LOWRY (REGIONAL MANAGER)
(410) 259-8193
Entity
Organization
Contact information
Practice address
1931 NEW GARDEN RD STE 108, GREENSBORO, NC 27410
(336) 808-0986
(336) 790-4213
Mailing address
8405 GREENSBORO DR STE 120, MC LEAN, VA 22102-5106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
10/15/2018
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