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NPI Code Detail

MEDICARE: MARC HENRY NESI MD

MEDICARE: MARC HENRY NESI MD
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
1208800000XUrology Physician26136NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
262160OTHERNCBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1932195252
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC HENRY NESI MD
Provider Business Mailing Address
First Line : 509 N ELAM AVE FL 2
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1157
Country : US
Telephone Number : 336-274-1114
Fax Number : 336-232-5325
Provider Business Practice Location Address
First Line : 509 N ELAM AVE FL 2
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1157
Country : US
Telephone Number : 336-274-1114
Fax Number : 336-232-5325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 02/11/2011

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