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Organization

HEALTHEAST FAMILY CARE OF NAGS HEAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VONDA GETRUDE LEFFLER (PRACTICE MANAGER)
(252) 441-3177
Entity
Organization

Contact information

Practice address
4810 S CROATAN HIGHWAY, SUITE 100, NAGS HEAD, NC 27959
(252) 441-3177
(252) 441-2271
Mailing address
4810 S CROATAN HIGHWAY, SUITE 100, NAGS HEAD, NC 27959
(252) 441-3177
(252) 441-2271

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0314E
BCBS OF NC
NC
05
890314E
NC
Enumeration date
12/15/2005
Last updated
08/22/2020
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