Organization
NURSE ANESTHESIA OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP W EICHENHOLZ MD (PRESIDENT)
(214) 687-0001
Entity
Organization
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
Mailing address
PO BOX 610462, DALLAS, TX 75261-0462
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000308
—
NC
Enumeration date
05/22/2006
Last updated
05/25/2021
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