Faison Medical Care, PLLC
Family Medicine in Greensboro, NC. Organization (NPI-2).
NPI number1093359366
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1093359366
- Entity type
- Organization (NPI-2)
- Legal business name
- Faison Medical Care, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2019
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 208VP0000X | – | – |
Practice location
5201 W Market St Ste 108Greensboro, NC 27409-3432
Phone 336-622-6000
Mailing address
5201 W Market St Ste 108Greensboro, NC 27409-3432
Phone 336-622-6000
Authorized official
Alphonza Faison
Owner
3366226000
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