# LEIBERT E. DEVINE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine of Edenton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225121221
- **Authorized official:** JILL MARIE DEVINE (OFFICE MANAGER)
- **Authorized official phone:** (252) 482-7774

## Contact information

- **Practice address:** 314 W QUEEN ST, EDENTON, NC 27932-1733
- **Practice address phone:** (252) 482-7774
- **Practice address fax:** (252) 482-7345
- **Mailing address:** 314 W QUEEN ST, EDENTON, NC 27932-1733
- **Mailing address phone:** (252) 482-7774
- **Mailing address fax:** (252) 482-7345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8923374 | NC | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 12/09/2010