| Gaa Clinic LLC | |
|
4009 W Wendover Ave Greensboro NC 27407-1904 | |
| (336) 389-3889 | |
| (336) 851-1418 |
| Full Name | Gaa Clinic LLC |
|---|---|
| Speciality | General Practice |
| Location | 4009 W Wendover Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Harold Dean Green (MEMBER / MANAGER) |
| Authorized Official Contact | 3363893889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaa Clinic LLC 4009 W Wendover Ave Greensboro NC 27407-1904 Ph: (336) 389-3889 | Gaa Clinic LLC 4009 W Wendover Ave Greensboro NC 27407-1904 Ph: (336) 389-3889 |
| NPI Number | 1215468269 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215468269 | NPI | - | NPPES |
| 40091940 | Other | NC | CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 200300814 (North Carolina) | Primary |
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