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Eagle Physicians And Associates PA

Family Medicine in Greensboro, NC. Organization (NPI-2).

NPI number1407871361
StatusActive
Last updated in NPPESSep 24, 2015

Details

NPI
1407871361
Entity type
Organization (NPI-2)
Legal business name
Eagle Physicians And Associates PA
Organization subpart
No
Enumeration date
Jul 13, 2006
Last updated
Sep 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
207RC0000X Internal Medicine, Cardiovascular Disease––
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism––
207RG0100X Internal Medicine, Gastroenterology––
207RG0300X Internal Medicine, Geriatric Medicine––
207RI0011X Internal Medicine, Interventional Cardiology––
207RR0500X Internal Medicine, Rheumatology––
207UN0901X Nuclear Medicine, Nuclear Cardiology––
207V00000X Obstetrics & Gynecology––
208000000X Pediatrics––
208M00000X Hospitalist––
363AM0700X Physician Assistant, Medical––
363L00000X Nurse Practitioner––
163WD0400X Registered Nurse, Diabetes Educator––

Practice location

324 W Wendover Ave
Suite 200
Greensboro, NC 27408-8437

Phone 336-274-6515 · Fax 336-267-3201

Mailing address

Po Box 14883
Greensboro, NC 27415-4883

Phone 336-274-6515 · Fax 336-267-3201

Authorized official

Terri S. Jones
Director, Eagle Business Services
3362683201

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