| Moses Cone Affiliated Physicians, Inc. | |
|
1900 Ashwood Ct Greensboro NC 27455-3005 | |
| (336) 282-1414 | |
| (336) 282-1515 |
| Full Name | Moses Cone Affiliated Physicians, Inc. |
|---|---|
| Speciality | Dermatology |
| Location | 1900 Ashwood Ct, Greensboro, North Carolina |
| Authorized Official Name and Position | Kenneth Knight Boggs (CFO/TREASURER) |
| Authorized Official Contact | 3368328005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Cone Affiliated Physicians, Inc. Po Box 1689 Etowah NC 28729-1689 Ph: (828) 891-5524 | Moses Cone Affiliated Physicians, Inc. 1900 Ashwood Ct Greensboro NC 27455-3005 Ph: (336) 282-1414 |
| NPI Number | 1790082873 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790082873 | NPI | - | NPPES |
| 5916856 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
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