Organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Other names
Eagle Endoscopy Center
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
1002 N CHURCH ST, SUITE 2, GREENSBORO, NC 27401-1439
(336) 268-3880
(336) 268-3881
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 268-3880
(336) 268-3881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061X
BCBS OF NC GROUP
NC
01
—
018A4
BCBS OF NC
NC
05
—
3409942
—
NC
Enumeration date
08/24/2006
Last updated
09/24/2015
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