Organization
GREENE COUNTY PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMI D BORIS MD (PRESIDENT)
(724) 627-8582
Entity
Organization
Contact information
Practice address
430 E OAKVIEW DR, SUITE A, WAYNESBURG, PA 15370-9729
(724) 627-8582
(724) 627-7756
Mailing address
430 E OAKVIEW DR, SUITE A, WAYNESBURG, PA 15370-9729
(724) 627-8582
(724) 627-7756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD418743
PA
208000000X
Pediatrics Physician
MD418743
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019036410001
—
PA
01
—
1393789
BCBS
PA
01
—
1528302
GATEWAY
PA
01
—
538628
AETNA
PA
Enumeration date
07/01/2006
Last updated
04/20/2008
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