Organization
LEIBERT E. DEVINE MD PA
Active
Other names
Family Medicine of Edenton
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE DEVINE (OFFICE MANAGER)
(252) 482-7774
Entity
Organization
Contact information
Practice address
314 W QUEEN ST, EDENTON, NC 27932-1733
(252) 482-7774
(252) 482-7345
Mailing address
314 W QUEEN ST, EDENTON, NC 27932-1733
(252) 482-7774
(252) 482-7345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8923374
NC
Other
Enumeration date
10/02/2006
Last updated
12/09/2010
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