Organization
CHOWAN PROFESSIONAL SERVICES, LLC
Active
Parent organization
EAST CAROLINA HEALTH - CHOWAN INC.
Other names
University Health Systems - Edenton Surgical Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CAROLINA HEALTH - CHOWAN INC.
Authorized official
MR. MICHAEL DACUS (MANAGER)
(252) 482-6175
Entity
Organization
Contact information
Practice address
203 EARNHART DR, SUITE B, EDENTON, NC 27932-8401
(252) 482-6836
Mailing address
PO BOX 377, EDENTON, NC 27932-0377
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
05/21/2009
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