Organization
TRIAD WOMEN'S HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE GREENE (ADMINISTRATOR)
(336) 841-6954
Entity
Organization
Contact information
Practice address
3750 ADMIRAL DR., SUITE 104, HIGH POINT, NC 27265
(336) 841-6954
(336) 841-6906
Mailing address
3750 ADMIRAL DR STE 104, HIGH POINT, NC 27265-1556
(336) 841-6954
(336) 841-6906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937039
—
NC
Enumeration date
06/16/2017
Last updated
07/21/2022
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