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Contact Information

GOLDEN GROVE EMERGENCY PHYSICIANS
401 NORTH MAIN STREET
KENANSVILLE, NC28349
 Phone: 910-296-0941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GOLDEN GROVE EMERGENCY PHYSICIANS · (Female)

NPI # 1710063144
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 5906132
  • NC Other 018TU BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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