Greenville Surgical, Pllc

LBN: Greenville Surgical, Pllc
Greenville Surgical, Pllc is an health care organization with primary practice located at 1011 W H Smith Blvd Suite 100, Greenville NC 27834-3787. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Greenville Surgical, Pllc can be contacted via phone (252) 754-8370, or through Hastings, Barry Russell via phone (252) 754-8370.

Contact Information

Primary practice address
1011 W H Smith Blvd Suite 100 Greenville NC 27834-3787
Fax: (252) 754-8387
Website:
Authorized official contact:
Name: Hastings, Barry Russell Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9800894 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 9800894 North Carolina

Profile Details

NPI number 1548440407
LBN Legal business name Greenville Surgical, Pllc
DBA Doing business as
Authorized official Hastings, Barry Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Oct 29th, 2010 - about 16 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 1548440407 NPPES
North Carolina MEDICAID 891149V

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