# EAGLE PHYSICIANS AND ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLE PHYSICIANS AND ASSOCIATES PA
- **Other names:** Eagle Endoscopy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396852570
- **Legal business name:** EAGLE PHYSICIANS AND ASSOCIATES PA
- **Authorized official:** TERRI S. JONES (DIRECTOR, EAGLE BUSINESS SERVICES)
- **Authorized official phone:** (336) 268-3201

## Contact information

- **Practice address:** 1002 N CHURCH ST, SUITE 2, GREENSBORO, NC 27401-1439
- **Practice address phone:** (336) 268-3880
- **Practice address fax:** (336) 268-3881
- **Mailing address:** PO BOX 14883, GREENSBORO, NC 27415-4883
- **Mailing address phone:** (336) 268-3880
- **Mailing address fax:** (336) 268-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0075 | NC | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 09/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0061X | BCBS OF NC GROUP | NC |
| 01 | — | 018A4 | BCBS OF NC | NC |
| 05 | — | 3409942 | — | NC |