OrganizationActive
M8d2rise Eagles Program, Inc
NPI 1386984375 · Exclusive Provider Organization · Greensboro, NC
Provider details
- NPI number
- 1386984375
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Tifanie Rudd, Owner
- License
- 281050 (NC)
Practice location
2302 W Meadowview Rd
Suite 124 Morehead Bldg.
Greensboro, NC 27407-3721
Phone: (336) 907-7268
Fax: (336) 707-7311
Mailing address
2302 W Meadowview Rd
Greensboro, NC 27407-3721
Registry dates
- Enumerated
- 2013-02-27
- Last updated
- 2013-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.