Healthcare Provider Details

I. General information

NPI: 1700948544
Provider Name (Legal Business Name): COUNTY OF GREENE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 KINGOLD BLVD SUITE B
SNOW HILL NC
28580-1303
US

IV. Provider business mailing address

227 KINGOLD BLVD SUITE B
SNOW HILL NC
28580-1303
US

V. Phone/Fax

Practice location:
  • Phone: 252-747-8181
  • Fax: 252-747-8946
Mailing address:
  • Phone: 252-747-8181
  • Fax: 252-747-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EVA SPENCE BROCK
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 252-747-8183