OrganizationActive
Greensboro College Inc.,
NPI 1689305245 · Sports Medicine (Family Medicine) Physician · Greensboro, NC
Provider details
- NPI number
- 1689305245
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Administrator/Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
815 W Market St
Greensboro, NC 27401-1823
Phone: (972) 367-4845
Fax: (972) 367-3451
Approximate (ZIP-level) locationGet directions
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415
Other names (DBA / former)
- Doing business as
- Greensboro College Sports Medicine
Registry dates
- Enumerated
- 2022-06-23
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.