Organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Other names
Eagle Family Medicine @ Guilford College
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
1210 NEW GARDEN RD, GREENSBORO, NC 27410-2721
(336) 294-6190
(336) 294-6278
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 294-6190
(336) 294-6278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134X
BCBS OF NC GROUP #
NC
05
—
890134X
—
NC
Enumeration date
10/25/2006
Last updated
07/26/2016
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