IndividualActive
Anthony Provenzano
NPI 1710371091 · Nephrology Physician · Greenville, NC
Provider details
- NPI number
- 1710371091
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2019-01052 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
511 Paladin Dr
Greenville, NC 27834-7826
Phone: (252) 752-8880
Fax: (252) 317-2092
Approximate (ZIP-level) locationGet directions
Mailing address
511 Paladin Dr
Greenville, NC 27834-7826
Registry dates
- Enumerated
- 2015-03-24
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.