India Green Bynum
Medical Specialty
Professional ID
- NPI: 1538503941
- PECOS ID: 1153562244
- Enrollment ID: I20130801000498
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 340132
- Business Name (LBN)1: Maria Parham Medical Center
- Hospital CCN2: 340123
- Business Name (LBN)2: Randolph Hospital
Medical Practices
- Organization Name: Medstream Anesthesia Pllc
- Group Practice ID assigned by PECOS: 7416198049
- Number of Group Practice member: 443
Location
- Address1: 566 Ruin Creek Rd
- Address2:
- City: Henderson
- State: North Carolina
- Zip Code: 27536
- Phone Number: (828)398-5244
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):