Eagle Physicians And Associates PA
Pediatrics in Greensboro, NC. Organization (NPI-2).
NPI number1013086321
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1013086321
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Physicians And Associates PA
- Organization subpart
- Yes
- Enumeration date
- Nov 8, 2006
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Eagle Pediatrics (Doing Business As)
Practice location
5500 W Friendly Ave Ste 200Greensboro, NC 27410-4368
Phone 336-373-1996 · Fax 336-482-2320
Mailing address
Po Box 14883Greensboro, NC 27415-4883
Phone 336-482-2300 · Fax 336-482-2320
Authorized official
Terri S. Jones
Director, Eagle Business Services
3362683201
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