Individual
MR. EDDIE S COURNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
(252) 948-4829
Mailing address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
(252) 948-4829
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050461
—
NC
Enumeration date
09/20/2006
Last updated
02/28/2008
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