| Evergreen Psychiatry Group Pllc | |
|
717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 | |
| (743) 222-9755 | |
| Not Available |
| Full Name | Evergreen Psychiatry Group Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 717 Green Valley Rd Ste 200, Greensboro, North Carolina |
| Authorized Official Name and Position | Mariam Nantang (OWNER) |
| Authorized Official Contact | 7432229755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Psychiatry Group Pllc 717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 Ph: (743) 222-9755 | Evergreen Psychiatry Group Pllc 717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 Ph: (743) 222-9755 |
| NPI Number | 1700698164 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700698164 | NPI | - | NPPES |
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