| NPI | 1508059213 |
|---|---|
| Doing Business As | GREEN VALLEY OBSTETRICS, GYNECOLOGY & INFERTILITY, P. A. |
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD ANDERSON Treasurer 336-378-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2007-08-26 |