Provider Demographics
NPI:1215029095
Name:GREIMEL, DEBORAH WHITE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:WHITE
Last Name:GREIMEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1225
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-1225
Mailing Address - Country:US
Mailing Address - Phone:910-291-0903
Mailing Address - Fax:910-291-0978
Practice Address - Street 1:1708 HWY 401 SOUTH
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352
Practice Address - Country:US
Practice Address - Phone:910-291-0903
Practice Address - Fax:910-291-0978
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912118Medicaid
NC2275763AMedicare ID - Type Unspecified
NC8912118Medicaid