Provider Demographics
NPI:1437130523
Name:VIEHMAN, GREG EDWIN (MD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:EDWIN
Last Name:VIEHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:710 MILITARY CUTOFF RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-2375
Mailing Address - Country:US
Mailing Address - Phone:910-256-2100
Mailing Address - Fax:910-256-7999
Practice Address - Street 1:710 MILITARY CUTOFF RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-2375
Practice Address - Country:US
Practice Address - Phone:910-256-2100
Practice Address - Fax:910-256-7999
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9600763207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891049KMedicaid
0542837001OtherCIGNA HMO
259353OtherMAMSI/ALLIANCE
13335OtherDOCTOR'S HEALTH PLAN
562070218VOtherCIGNA HEALTHCARE
070012682OtherRAILROAD MEDICARE
17440OtherPARTNER'S
5004673OtherAETNA PPO
81117OtherMEDCOST
0354050OtherUNITED HEALTHCARE
NC1049KOtherBCBS
2059158OtherAETNA HMO
0542837001OtherCIGNA HMO
562070218VOtherCIGNA HEALTHCARE