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Anthony Greenidge, AZ LISAC - 15204
NPI 1518102151 · on the registry since 2008 · sole proprietor
Practice
- Address
- 17446 W Papago St
Goodyear, AZ 85338 - Phone
- (919) 827-6628
- Organisation at this address
- Multicentric Solution, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
101YA0400X - Licence states on file
- AZ, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona