Provider Demographics
NPI:1013442227
Name:VIARENEW GREENSBORO, PLLC
Entity Type:Organization
Organization Name:VIARENEW GREENSBORO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:SKEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-763-1600
Mailing Address - Street 1:5587 GARDEN VILLAGE WAY
Mailing Address - Street 2:STE E
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8589
Mailing Address - Country:US
Mailing Address - Phone:336-763-1600
Mailing Address - Fax:336-763-6796
Practice Address - Street 1:5587 GARDEN VILLAGE WAY
Practice Address - Street 2:STE E
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8589
Practice Address - Country:US
Practice Address - Phone:336-763-1600
Practice Address - Fax:336-763-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801061208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty