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Vidant Medical Group Llc
Urology Physician in Greenville, North Carolina
NPI 1639153448

Vidant Medical Group Llc is a Urology Physician based in Greenville, NC. Vidant Medical Group Llc practices in Greenville, NC. The NPI Number for Vidant Medical Group Llc is 1639153448 and holds a License No. (North Carolina).

The current practice location address for Vidant Medical Group Llc is 275 Bethesda Dr, Greenville, NC and can be reached out via phone at 252-752-5077 and via fax at 252-752-9544.

Location: 275 Bethesda Dr, Greenville, NC, 27834-7217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639153448
Provider Name
Vidant Medical Group Llc
Credential
Provider Entity Type
Organization
Address
275 Bethesda Dr, Greenville, NC, 27834-7217
Phone Number
252-752-5077
Fax Number
252-752-9544
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8901688 05 NC
01688 01 NC BLUE CROSS BLUE SHIELD
34D0934367 01 CLIA ID
institution
Provider Business Practice Location Address Details
Address
275 Bethesda Dr
City
Greenville
State
North Carolina
Zip
27834-7217
Phone Number
252-752-5077
Fax Number
252-752-9544
person
Provider Business Mailing Address Details
Address
275 Bethesda Dr
City
Greenville
State
North Carolina
Zip
27834-7217
Phone Number
252-752-5077
Fax Number
252-752-9544
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
(North Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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