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Immanuel Family Practice
Medical Specialty Clinic/Center in Greensboro, North Carolina
NPI 1164487823

Immanuel Family Practice is a Medical Specialty Clinic/Center based in Greensboro, NC and is specialized in Medical Specialty. Immanuel Family Practice practices in Greensboro, NC. The NPI Number for Immanuel Family Practice is 1164487823 and holds a License No. (North Carolina).

The current practice location address for Immanuel Family Practice is 5500 W Friendly Ave, Greensboro, NC and can be reached out via phone at 336-856-9996. You can also correspond with Immanuel Family Practice through the mailing address at 5500 W FRIENDLY AVE, GREENSBORO, NC - 27410-4212 (mailing address contact number: 336-856-9996).

Location: 5500 W Friendly Ave, Greensboro, NC, 27410-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164487823
Provider Name
Immanuel Family Practice
Credential
Provider Entity Type
Organization
Address
5500 W Friendly Ave, Greensboro, NC, 27410-4212
Phone Number
336-856-9996
Fax Number
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89016JV 05 NC
institution
Provider Business Practice Location Address Details
Address
5500 W Friendly Ave
City
Greensboro
State
North Carolina
Zip
27410-4212
Phone Number
336-856-9996
Fax Number
person
Provider Business Mailing Address Details
Address
5500 W Friendly Ave
City
Greensboro
State
North Carolina
Zip
27410-4212
Phone Number
336-856-9996
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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