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Organization

NORTEASTERN FAMILY MEDICINE

Active
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Organization

NORTEASTERN FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON M PETERS MD (PRESIDENT)
(252) 335-2355
Entity
Organization

Contact information

Practice address
206 S ROAD ST, ELIZABETH CITY, NC 27909-4755
(252) 335-2355
(252) 338-0505
Mailing address
206 S ROAD ST, ELIZABETH CITY, NC 27909-4755
(252) 335-2355
(252) 338-0505

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8967156
—
NC
Enumeration date
09/07/2006
Last updated
08/22/2020
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