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Organization

CHOWAN FAMILY MEDICINE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN CHRISTOPHER PERRY MD (PRESIDENT)
(252) 482-6522
Entity
Organization

Contact information

Practice address
701 LUKE ST, SUITE D, EDENTON, NC 27932-9643
(252) 482-6522
(252) 482-6534
Mailing address
701 LUKE ST, SUITE D, EDENTON, NC 27932-9643
(252) 482-6522
(252) 482-6534

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26142
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26142
STATE LICENSE #
NC
05
89011P1
NC
Enumeration date
03/22/2006
Last updated
06/20/2013
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