Greensboro Family Medicine PA
NPI #1104124155 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1104124155
- Entity Type
- Organization
- Organization Name
- Greensboro Family Medicine PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 28, 2011
- Last Updated
- Apr 13, 2011
Practice Location
- Address
- 104 W NORTHWOOD ST
- Address 2
- SUITE A
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27401-1326
- Phone
- (336) 790-0519
Authorized Official
- Name
- MR. JOHN JOSEPH DEWAR SR., PA-C
- Title
- PHYSICIAN ASSISTANT
- Phone
- (336) 790-0519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Internal Medicine |
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