| Eastover Psychological & Psychiatric Group Of Lake Norman, P.a. | |
|
20723 Torrence Chapel Rd Suite 203 Cornelius NC 28031-6496 | |
| (704) 987-2560 | |
| (704) 987-2561 |
| Full Name | Eastover Psychological & Psychiatric Group Of Lake Norman, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 20723 Torrence Chapel Rd, Cornelius, North Carolina |
| Authorized Official Name and Position | John Edward Humphrey (PRESIDENT) |
| Authorized Official Contact | 7043622663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastover Psychological & Psychiatric Group Of Lake Norman, P.a. 20723 Torrence Chapel Rd Suite 203 Cornelius NC 28031-6496 Ph: (704) 987-2560 | Eastover Psychological & Psychiatric Group Of Lake Norman, P.a. 20723 Torrence Chapel Rd Suite 203 Cornelius NC 28031-6496 Ph: (704) 987-2560 |
| NPI Number | 1982939823 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982939823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 144566 (North Carolina) | Primary |
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