Organization
MOSES CONE AFFILIATED PHYSICIANS, INC.
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
Premier Pediatrics of Eden
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
MR. KENNETH K BOGGS (CFO/TREASURER)
(336) 832-8005
Entity
Organization
Contact information
Practice address
509 S VAN BUREN RD, SUITE B, EDEN, NC 27288-5082
(336) 627-5437
(336) 627-1681
Mailing address
509 S VAN BUREN RD, SUITE B, EDEN, NC 27288-5082
(336) 627-5437
(336) 627-1681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916799
—
NC
Enumeration date
11/03/2010
Last updated
11/29/2012
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