Organization
EAST CAROLINA HEALTH-CHOWAN INC
Active
Other names
Chowan Hospital Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY N. SACKRISON (PRESIDENT)
(252) 482-6268
Entity
Organization
Contact information
Practice address
201 VIRGINIA RD, EDENTON, NC 27932-9668
(252) 482-2116
(252) 482-7631
Mailing address
PO BOX 569, EDENTON, NC 27932-0569
(252) 482-2116
(252) 482-7631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019Y1
BCBS
NC
05
—
5950347
—
NC
Enumeration date
06/24/2008
Last updated
12/11/2008
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