Provider Demographics
NPI:1366497521
Name:STRONG, JOHN ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ARTHUR
Last Name:STRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1317 N. ELM STREET
Mailing Address - Street 2:SUITE 1 B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1023
Mailing Address - Country:US
Mailing Address - Phone:336-274-4285
Mailing Address - Fax:336-482-2177
Practice Address - Street 1:1317 N. ELM STREET
Practice Address - Street 2:SUITE 1 B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1023
Practice Address - Country:US
Practice Address - Phone:336-274-4285
Practice Address - Fax:336-482-2177
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC368362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1601782OtherUNITED HEALTHCARE
NC70520OtherMEDCOST
NC300065903OtherRR MEDICARE
NC18734OtherPARTNERS
NC80513OtherBCBS
NC8980513Medicaid
NC8980513Medicaid
NCF58914Medicare UPIN