ANTHONY PROVENZANO

GREENVILLE, NC
NPI1710371091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: NC  2019-01052)
Enumeration Date2015-03-24
Last Update Date2020-09-03
Business Address
ANTHONY PROVENZANO
511 PALADIN DR
GREENVILLE, NC 27834-7826
Phone number: 252-752-8880
Mailing Address
ANTHONY PROVENZANO
511 PALADIN DR
GREENVILLE, NC 27834-7826
Phone number: 252-752-8880
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