| |
701 Luke St Ste D Edenton NC 27932-9643 | |
(252) 337-9170 | |
(844) 696-5375 |
Full Name | |
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Speciality | Family Medicine |
Location | 701 Luke St, Edenton, North Carolina |
Authorized Official Name and Position | Cindy A Taylor (MANAGER) |
Authorized Official Contact | 7572522765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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701 Luke St Ste D Edenton NC 27932-9643 Ph: (252) 337-9170 | 701 Luke St Ste D Edenton NC 27932-9643 Ph: (252) 337-9170 |
NPI Number | 1043602360 |
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Provider Enumeration Date | 02/24/2015 |
Last Update Date | 07/31/2015 |
Identifier | Type | State | Issuer |
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1043602360 | NPI | - | NPPES |
232011 | Other | NC | MEDICARE GROUP NUMBER |
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