Family Medicine Of Edenton | |
314 W Queen St Edenton NC 27932-1733 | |
(252) 482-7774 | |
(252) 482-7345 |
Full Name | Family Medicine Of Edenton |
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Speciality | Family Medicine |
Location | 314 W Queen St, Edenton, North Carolina |
Authorized Official Name and Position | Jill Marie Devine (OFFICE MANAGER) |
Authorized Official Contact | 2524827774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medicine Of Edenton 314 W Queen St Edenton NC 27932-1733 Ph: (252) 482-7774 | Family Medicine Of Edenton 314 W Queen St Edenton NC 27932-1733 Ph: (252) 482-7774 |
NPI Number | 1225121221 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 12/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225121221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8923374 (North Carolina) | Primary |
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