Gregory D Mieden


Address: 345 Devers St, Suite 102, Fayetteville, NC 28303-4753

Gregory D Mieden (NPI# 1104879154, PAC ID# 7113911538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1104879154
PAC ID by PECOS 7113911538
Professional Enrollment ID I20040409000092
Full Name Gregory D Mieden
Address 345 Devers St
Suite 102
Fayetteville
NC 28303-4753
Gender M
Credential MD
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty NEUROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340027 UNC LENOIR HEALTH CARE

Other Locations

Address Phone Organization
345 Devers St, Suite 102, Fayetteville, NC 28303-4753
1136 Hwy 258 N, Suite 102b, Kinston, NC 28504-8304

Organization Information

Office Location

Street Address 345 DEVERS ST
SUITE 102
City FAYETTEVILLE
State NC
Zip 28303-4753

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Kristopher Rashard Williams Physical Therapy Revolution Incorporated 5860 Yadkin Rd, Fayetteville, NC 28303-2668
Alexa Marie Gortian Physical Therapy Revolution Incorporated 5860 Yadkin Rd, Fayetteville, NC 28303-2668
Anthony Disalvo Physical Therapy Revolution Incorporated 5860 Yadkin Rd, Fayetteville, NC 28303-2668
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Competitor

Search similar physicians

City FAYETTEVILLE
Zip Code 28303
Specialty NEUROLOGY
City + Specialty FAYETTEVILLE + NEUROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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