| NPI | 1164595757 |
|---|---|
| Doing Business As | EAGLE FAMILY MEDICINE AT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | TERRI S. JONES Director, Eagle Business Services 336-268-3201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-09-24 |