| Chowan Hospital Family Practice | |
|
201 Virginia Rd Edenton NC 27932-9668 | |
| (252) 482-2116 | |
| (252) 482-7631 |
| Full Name | Chowan Hospital Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Virginia Rd, Edenton, North Carolina |
| Authorized Official Name and Position | Jeffery N. Sackrison (PRESIDENT) |
| Authorized Official Contact | 2524826268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chowan Hospital Family Practice Po Box 569 Edenton NC 27932-0569 Ph: (252) 482-2116 | Chowan Hospital Family Practice 201 Virginia Rd Edenton NC 27932-9668 Ph: (252) 482-2116 |
| NPI Number | 1629239488 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629239488 | NPI | - | NPPES |
| 019Y1 | Other | NC | BCBS |
| 5950347 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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