Healthcare Provider Details

I. General information

NPI: 1265497986
Provider Name (Legal Business Name): DAVID NEAL GREENBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWTHORNE LN
CHARLOTTE NC
28204-2515
US

IV. Provider business mailing address

3413 RHETT BUTLER PL
CHARLOTTE NC
28270-4423
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-9232
  • Fax:
Mailing address:
  • Phone: 704-618-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number9800552
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: