| Chowan Medical Center, Pa | |
|
201 Virginia Rd Edenton NC 27932-9668 | |
| (252) 482-2116 | |
| (252) 482-4874 |
| Full Name | Chowan Medical Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Virginia Rd, Edenton, North Carolina |
| Authorized Official Name and Position | Thomas C. Dimartino (PRESIDENT) |
| Authorized Official Contact | 2524822116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chowan Medical Center, Pa Po Box 429 Edenton NC 27932-0429 Ph: (252) 482-2116 | Chowan Medical Center, Pa 201 Virginia Rd Edenton NC 27932-9668 Ph: (252) 482-2116 |
| NPI Number | 1609831015 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609831015 | NPI | - | NPPES |
| 01310 | Other | NC | BCBS PROVIDER # |
| 8901310 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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