NPI | 1245375443 |
---|---|
Former Legal Business Name | EDWARD B EADIE, JR., MD |
Entity Type | Organization |
Authorized Contact | EDWARD B EADIE President 252-338-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NC 18943) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2018-06-21 |