Organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Other names
Eagle Family Medicine at Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE PHYSICIANS AND ASSOCIATES PA
Authorized official
TERRI S. JONES (DIRECTOR, EAGLE BUSINESS SERVICES)
(336) 268-3201
Entity
Organization
Contact information
Practice address
301 E WENDOVER AVE, SUITE 215, GREENSBORO, NC 27401-1230
(336) 379-1156
(336) 370-0442
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 379-1156
(336) 370-0442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134Y
BCBS OF NC
NC
05
—
890134Y
—
NC
Enumeration date
11/15/2006
Last updated
09/24/2015
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