| Mustard Seed Community Health | |
|
238 S English St Greensboro NC 27401-3648 | |
| (336) 763-0814 | |
| (336) 763-0815 |
| Full Name | Mustard Seed Community Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 238 S English St, Greensboro, North Carolina |
| Authorized Official Name and Position | Elizabeth Marie Mulberry (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3363145489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Seed Community Health 238 S English St Greensboro NC 27401-3648 Ph: (336) 763-0814 | Mustard Seed Community Health 238 S English St Greensboro NC 27401-3648 Ph: (336) 763-0814 |
| NPI Number | 1538538509 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 1153696513 |
|---|---|
| Medicare Enrollment ID | O20171011000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538538509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200001414 (North Carolina) | Primary |
| 208000000X | Pediatrics | 200001414 (North Carolina) | Secondary |
| Provider Name | Elizabeth M Mulberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043398969 PECOS PAC ID: 3678669371 Enrollment ID: I20071010000747 |
| Provider Name | Sara Elizabeth Trogdon French |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659140713 PECOS PAC ID: 8224553474 Enrollment ID: I20250421000863 |
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