Greenville Internal Medicine

LBN: Greenville Internal Medicine
Greenville Internal Medicine is an health care organization with primary practice located at 2210 Hemby Ln Suite 101, Greenville NC 27834-3773. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Greenville Internal Medicine can be contacted via phone (252) 830-1680, or through Waivers, Leo E. via phone (252) 830-1680.

Contact Information

Primary practice address
2210 Hemby Ln Suite 101 Greenville NC 27834-3773
Phone: (252) 830-1680
Fax: (252) 830-0926
Website:
Map and Directions
Authorized official contact:
Name: Waivers, Leo E. Doctor of Medicine (MD)
Phone: (252) 830-1680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56908 North Carolina

Profile Details

NPI number 1093864662
LBN Legal business name Greenville Internal Medicine
DBA Doing business as
Authorized official Waivers, Leo E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093864662 NPPES
North Carolina Other 0169E BCBS-NC
North Carolina MEDICAID 890169E BCBS-NC

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