MEDICARE: KRISTEN COMBS

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1528578432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN COMBS

Provider Business Mailing Address
First Line	:	2 WHISPERING CT
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-2631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CENTERVIEW DR STE 103
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-3712
Country	:	US
Telephone Number	:	708-595-8972
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	10/05/2017

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Directions to “ KRISTEN COMBS ” Practice Location

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