Enc Peds Pllc | |
222b Virginia Rd Edenton NC 27932-9667 | |
(252) 484-9024 | |
(252) 404-8424 |
Full Name | Enc Peds Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 222b Virginia Rd, Edenton, North Carolina |
Authorized Official Name and Position | Ian Luke Bryan (CEO) |
Authorized Official Contact | 2524849024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enc Peds Pllc 222b Virginia Rd Edenton NC 27932-9667 Ph: () - | Enc Peds Pllc 222b Virginia Rd Edenton NC 27932-9667 Ph: (252) 484-9024 |
NPI Number | 1518692797 |
---|---|
Provider Enumeration Date | 07/20/2022 |
Last Update Date | 05/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518692797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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