Eastern Carolina Geriatric Associates And Family Care Center Pllc

NPI 1003057696 - Family Medicine - 207Q00000X

NPI Details
NPI 1003057696
Enumeration Date 03/12/2009
Last Updated 03/12/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEVEN WALLACE STEVEN
Position PRESIDENT
Phone (252) 332-6484
Fax (252) 332-1660
Practice Location
105 COMMERCE STREET
POWELLSVILLE NC, 27967-0040, US
Phone (252) 332-6484
Fax (252) 332-1660
Business Location
105 COMMERCE STREET
PO BOX 40
POWELLSVILLE NC, 27967, US
Phone (252) 332-6484
Fax (252) 332-1660
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 36700
Remove 1003057696 NPI Number
 

According to our database, Eastern Carolina Geriatric Associates And Family Care Center Pllc NPI is 1003057696, taxonomy code is 207Q00000X and license number is 36700, license state is located at North Carolina. Eastern Carolina Geriatric Associates And Family Care Center Pllc physically located at 105 Commerce Street, Powellsville NC, 27967-0040. NPI Number 1033115704 has the healthcare provider type.

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1003057696 NPI number is provided on an as is basis without warranty of any kind. 1003057696 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Carolina Geriatric Associates And Family Care Center Pllc are for informational purposes only.