| Alpha Clinics, PA | |
|
3231 Yanceyville St Greensboro NC 27405-4043 | |
| (336) 358-1528 | |
| (336) 358-1582 |
| Full Name | Alpha Clinics, PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 3231 Yanceyville St, Greensboro, North Carolina |
| Authorized Official Name and Position | Edwin Aziegbe Avbuere (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3363581528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Clinics, PA 3231 Yanceyville St Greensboro NC 27405-4043 Ph: (336) 358-1528 | Alpha Clinics, PA 3231 Yanceyville St Greensboro NC 27405-4043 Ph: (336) 358-1528 |
| NPI Number | 1326364837 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/09/2010 |
| Medicare PECOS PAC ID | 2961531264 |
|---|---|
| Medicare Enrollment ID | O20100525000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326364837 | NPI | - | NPPES |
| 891309K | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001-01168 (North Carolina) | Primary |
| Provider Name | Edwin Aziegbe Avbuere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013019470 PECOS PAC ID: 0244369593 Enrollment ID: I20100525000112 |
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