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Organization

PHYSICIANS EAST PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HALE HAMPTON STEPHENSON M.D. (PRESIDENT)
(252) 758-4181
Entity
Organization

Contact information

Practice address
3681 N MAIN ST, FARMVILLE, NC 27828-1464
(252) 753-7141
(252) 753-5834
Mailing address
3681 N MAIN ST, FARMVILLE, NC 27828-1464
(252) 753-7141
(252) 753-5834

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890290T
NC
Enumeration date
06/21/2005
Last updated
08/22/2020
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