Organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Other names
Eagle Family Medicine @ Brassfield
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
3800 ROBERT PORCHER WAY, SUITE 200, GREENSBORO, NC 27410-2190
(336) 282-0376
(336) 282-0379
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 282-0376
(336) 282-0379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0287U
BCBS OF NC
NC
05
—
890287U
—
NC
Enumeration date
10/05/2006
Last updated
09/24/2015
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