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East Carolina Health - Chowan INC

Clinic/Center in Edenton, NC. Organization (NPI-2).

NPI number1831152016
StatusActive
Last updated in NPPESJul 14, 2008

Details

NPI
1831152016
Entity type
Organization (NPI-2)
Legal business name
East Carolina Health - Chowan INC
Organization subpart
Yes
Enumeration date
Apr 10, 2006
Last updated
Jul 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center200200691NCYes

Other names

  • Chowan Pediatrics (Doing Business As)

Practice location

203 Earnhardt Dr
Edenton, NC 27932-8401

Phone 252-482-7408 · Fax 252-482-5529

Mailing address

Po Box 569
Edenton, NC 27932-0569

Phone 252-482-7408 · Fax 252-482-5529

Authorized official

Jeffrey N. Sackrison
President
2524826268

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