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LEIBERT E. DEVINE MD PA NPI 1225121221


NPI Information

NPI: 1225121221
Provider Name: LEIBERT E. DEVINE MD PA

Doing Business As: FAMILY MEDICINE OF EDENTON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
314 W QUEEN ST
EDENTON, NC
ZIP 27932
Phone: (252) 482-7774
Get Directions

LEIBERT E. DEVINE MD PA is a family medicine in Edenton, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEIBERT E. DEVINE MD PA NPI is 1225121221. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medicine Of Edenton.

The provider's business location address is:

314 W QUEEN ST
EDENTON, NC
ZIP 27932-733
Phone: (252) 482-7774
Fax: (252) 482-7345

The provider's authorized official is Jill Marie Devine .
The authorized official title is Office Manager and has the following contact phone number (252) 482-7774.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/9/2010.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine8923374NORTH CAROLINAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12345604MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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