| NPI | 1407871361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI S. JONES Director, Eagle Business Services 336-268-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-09-24 |