Individual
JOHN ECKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1588 WADE STEDMAN RD, STEDMAN, NC 28391-8954
(716) 450-3887
Mailing address
PO BOX 845, STEDMAN, NC 28391-0845
(716) 450-3887
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
165447
NC
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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