Individual
DR. RICHARD PHILLIPS EIDE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
67375
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
67375
GA
Other
Enumeration date
06/23/2010
Last updated
06/03/2025
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