1942758412 NPI number — THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO

Table of content: TOYE G.C WILLIAMS M.D (NPI 1083710370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942758412 NPI number — THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942758412
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
107 GRAY DR
Provider Second Line Business Mailing Address:
GOVE STUDENT HEALTH CENTER
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27412-5008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-334-5340
Provider Business Mailing Address Fax Number:
336-334-5343

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
107 GRAY DR
Provider Second Line Business Practice Location Address:
GOVE STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27412-5008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-334-5340
Provider Business Practice Location Address Fax Number:
336-334-5343
Provider Enumeration Date:
09/14/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BABER
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
INTERIM DIRECTOR OF STUDENT HEALTH
Authorized Official Telephone Number:
336-334-3147

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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