Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 9600763 | NC |
NPI | 1437130523 |
---|---|
Provider Name | Greg Edwin Viehman |
First Address | Wilmington, NC 28405-2375 |
Second Address | Wilmington, NC 28405-2375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 28/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0354050 | UNITED HEALTHCARE (01) | |
0542837001 | CIGNA HMO (01) | |
070012682 | RAILROAD MEDICARE (01) | |
1049K | BCBS (01) | NC |
13335 | DOCTOR'S HEALTH PLAN (01) | |
17440 | PARTNER'S (01) | |
2059158 | AETNA HMO (01) | |
259353 | MAMSI/ALLIANCE (01) | |
5004673 | AETNA PPO (01) | |
562070218V | CIGNA HEALTHCARE (01) | |
81117 | MEDCOST (01) | |
891049K | (05) | NC |
G49857 | (02) |