Organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Other names
Eagle Walk-In Clinic
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
5701 W FRIENDLY AVE, GREENSBORO, NC 27410-4112
(336) 852-1915
(336) 294-3544
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 482-2723
(336) 294-3544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011T0
BCBS OF NC
NC
05
—
89011T0
—
NC
Enumeration date
11/15/2006
Last updated
06/13/2024
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