NPI 1073799003

Nancy Green INC.

Organisation Exclusive Provider Organization Salisbury, NC

Practice location

Address: 121 Rugby Rd, Salisbury, NC 28144-9489
Phone: (704) 633-9747
Fax: (704) 633-9608
Mailing address: P.O. Box 1762, Salisbury, NC 28144-9489

Authorised official

Name: Nancy Desormeau Green
Title: Director
Phone: (704) 633-9747

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 175133 (NC)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1073799003
Entity type: Organization
NPI issued: 22 Jan 2008
Record last updated: 22 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.