| Mark J. Eisen, M.d. | |
|
900 Martin Luther King Jr Blvd Sutie A Chapel Hill NC 27514-2601 | |
| (919) 967-3452 | |
| (919) 932-5200 |
| Full Name | Mark J. Eisen, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Martin Luther King Jr Blvd, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Marcus W Gillikin (CONSULTANT) |
| Authorized Official Contact | 2523537162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Eisen, M.d. Po Box 30696 Greenville NC 27833-0696 Ph: (252) 353-7162 | Mark J. Eisen, M.d. 900 Martin Luther King Jr Blvd Sutie A Chapel Hill NC 27514-2601 Ph: (919) 967-3452 |
| NPI Number | 1255447967 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255447967 | NPI | - | NPPES |
| 8930263 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25580 (North Carolina) | Primary |
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