EAGLE PHYSICIANS AND ASSOCIATES PA NPI 1184665499

NPI Information

EAGLE PHYSICIANS AND ASSOCIATES PA is a primary care clinic center in Greensboro, NC. EAGLE PHYSICIANS AND ASSOCIATES PA NPI is 1184665499. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Family Medicine @ Triad.

The provider's business location address is:

3511 W MARKET ST
SUITE A
GREENSBORO, NC
ZIP 27403-443
Phone: (336) 852-3800
Fax: (336) 852-5725

The provider's authorized official is Terri S. Jones .
The authorized official title is Director, Eagle Business Services and has the following contact phone number (336) 268-3201.

The CLIA number assigned to this NPI record is 34D0239076 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/9/2006 and was last updated on 9/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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