Healthcare Provider Details

I. General information

NPI: 1538294533
Provider Name (Legal Business Name): CENTER FOR GYNECOLOGY & FERTILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 N. ELM ST SUITE 302
GREENSBORO NC
27401
US

IV. Provider business mailing address

1103 N. ELM ST SUITE 302
GREENSBORO NC
27401
US

V. Phone/Fax

Practice location:
  • Phone: 336-272-0911
  • Fax: 336-274-4449
Mailing address:
  • Phone: 336-272-0911
  • Fax: 336-274-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number27256
License Number StateNC

VIII. Authorized Official

Name: DR. HOWARD C. MEZER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 336-272-0911