Community Family Practice Physicians
Family Medicine in Elizabeth City, NC. Organization (NPI-2).
NPI number1306986278
StatusActive
Last updated in NPPESFeb 24, 2011
Details
- NPI
- 1306986278
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Family Practice Physicians
- Organization subpart
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Feb 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 19404 | NC | Yes |
Practice location
107 Medical DrElizabeth City, NC 27909-3361
Phone 252-335-0503
Mailing address
107 Medical DrElizabeth City, NC 27909-3361
Phone 252-335-0503
Authorized official
Joseph Milton Spruill
President
2523350503
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