| Chowan Family Medicine, Pa | |
|
701 Luke St Suite D Edenton NC 27932-9643 | |
| (252) 482-6522 | |
| (252) 482-6534 |
| Full Name | Chowan Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Luke St, Edenton, North Carolina |
| Authorized Official Name and Position | John Christopher Perry (PRESIDENT) |
| Authorized Official Contact | 2524826522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chowan Family Medicine, Pa 701 Luke St Suite D Edenton NC 27932-9643 Ph: (252) 482-6522 | Chowan Family Medicine, Pa 701 Luke St Suite D Edenton NC 27932-9643 Ph: (252) 482-6522 |
| NPI Number | 1396704813 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 06/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396704813 | NPI | - | NPPES |
| 89011P1 | Medicaid | NC | |
| 26142 | Other | NC | STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26142 (North Carolina) | Primary |
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