| NPI | 1902512957 |
|---|---|
| Doing Business As | EAGLE AT WEST FRIENDLY |
| Entity Type | Organization |
| Authorized Contact | TERRI JONES Director Of Eagle Business Services 336-274-6515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-10-25 |