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NPI Code Detail

MEDICARE: TRESHELL NICOLE GREENE PA-C

MEDICARE: TRESHELL NICOLE GREENE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant102226NC
2363A00000XPhysician Assistant102226NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124029822
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRESHELL NICOLE GREENE PA-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-637-3373
Fax Number : 704-637-0069
Provider Business Practice Location Address
First Line : 650 JULIAN RD
Second Line :
City : SALISBURY
State : NC
Zip : 28147-9078
Country : US
Telephone Number : 704-637-3373
Fax Number : 704-637-0069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 04/20/2023

Similar Medicare Providers

1972504736 — RONNIE JAY BARRIER MD
Practice Location Address:
650 JULIAN RD
SALISBURY, NC
28147-9078
Practice Phone: 704-637-3373
Practice Fax: 704-637-0069
1689675480 — KIM MORGAN MYERS MD
Practice Location Address:
650 JULIAN RD
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28147-9078
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1093716797 — BENJAMIN THOMAS OTT MD
Practice Location Address:
650 JULIAN RD
SALISBURY, NC
28147-9078
Practice Phone: 704-637-3373
Practice Fax: 705-637-0069
1649230863 — JOHN B KRIBBS M.D.
Practice Location Address:
650 JULIAN RD
SALISBURY, NC
28147-9078
Practice Phone: 704-637-3373
Practice Fax: 704-637-0069
1861454290 — ROWAN FAMILY PHYSICIANS P L L C
Practice Location Address:
650 JULIAN RD
SALISBURY, NC
28147-9078
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Practice Fax: 704-637-0069
1255382867 — BETHANY JULY SOUTH M.D.
Practice Location Address:
650 JULIAN RD
SALISBURY, NC
28147-9078
Practice Phone: 704-637-3373
Practice Fax: 704-637-0069

Directions to “ TRESHELL NICOLE GREENE PA-C” Practice Location

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