Organization
IMMEDIATE CARE OF GOLDSBORO, PLLC
Active
Other names
CORRECT LEGAL BUSINESS NAME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY A GRANT MD (PRESIDENT)
(919) 580-0004
Entity
Organization
Contact information
Practice address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534
(919) 580-0004
(919) 580-9099
Mailing address
2604 MEDICAL OFFICE PL, GOLDSBORO, NC 27534
(919) 580-0004
(919) 580-9099
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250U
BLUE CROSS BLUE SHIELD
—
05
—
890250U
—
NC
Enumeration date
09/23/2005
Last updated
06/05/2024
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