| Viva Med Pllc | |
|
705 Wh Smith Blvd Greenville NC 27834-3752 | |
| (252) 329-8482 | |
| Not Available |
| Full Name | Viva Med Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 705 Wh Smith Blvd, Greenville, North Carolina |
| Authorized Official Name and Position | Courtney Blount (CREDENTIALING DEPARTMENT) |
| Authorized Official Contact | 2524025317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Med Pllc 705 Wh Smith Blvd Greenville NC 27834-3752 Ph: (252) 329-8482 | Viva Med Pllc 705 Wh Smith Blvd Greenville NC 27834-3752 Ph: (252) 329-8482 |
| NPI Number | 1245793991 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 02/27/2023 |
| Medicare PECOS PAC ID | 5890028047 |
|---|---|
| Medicare Enrollment ID | O20190604000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245793991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher E Lacroix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669437984 PECOS PAC ID: 8426955113 Enrollment ID: I20051219000826 |
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