NPI 1215468269

Gaa Clinic LLC

Organisation General Practice Physician Greensboro, NC

Practice location

Address: 4009 W Wendover Ave, Greensboro, NC 27407-1904
Phone: (336) 389-3889
Fax: (336) 851-1418

Authorised official

Name: Harold Dean Green
Title: Member / Manager
Phone: (336) 389-3889

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 200300814 (NC)

Other General Practice providers in North Carolina →

Registry record

NPI: 1215468269
Entity type: Organization
NPI issued: 22 Mar 2017
Record last updated: 22 Mar 2017

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.