Provider Demographics
NPI:1376671503
Name:GREENLEE, FRANCES C (PA)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:C
Last Name:GREENLEE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MRS
Other - First Name:FRANCES
Other - Middle Name:KATHERINE YVONNE C
Other - Last Name:GREENLEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 7386
Mailing Address - Street 2:LOWER LEVEL REYNOLDS GYM-WINGATE ROAD
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27109-7386
Mailing Address - Country:US
Mailing Address - Phone:336-758-5218
Mailing Address - Fax:336-758-6054
Practice Address - Street 1:LOWER LEVEL REYNOLDS GYM-WINGATE RD
Practice Address - Street 2:WINGATE RD
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27109-7386
Practice Address - Country:US
Practice Address - Phone:336-758-5218
Practice Address - Fax:336-758-6054
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100269363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical