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Organization
LEIBERT E. DEVINE MD PA
Active
Organization
LEIBERT E. DEVINE MD PA
Active
Other names
Family Medicine of Edenton
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE DEVINE (OFFICE MANAGER)
(252) 482-7774
Entity
Organization
Contact information
Practice address
314 W QUEEN ST, EDENTON, NC 27932-1733
(252) 482-7774
(252) 482-7345
Mailing address
314 W QUEEN ST, EDENTON, NC 27932-1733
(252) 482-7774
(252) 482-7345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8923374
NC
Other
Enumeration date
10/02/2006
Last updated
12/09/2010
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