Organization
NORTEASTERN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON M PETERS MD (PRESIDENT)
(252) 335-2355
Entity
Organization
Contact information
Practice address
206 S ROAD ST, ELIZABETH CITY, NC 27909-4755
(252) 335-2355
(252) 338-0505
Mailing address
206 S ROAD ST, ELIZABETH CITY, NC 27909-4755
(252) 335-2355
(252) 338-0505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8967156
—
NC
Enumeration date
09/07/2006
Last updated
08/22/2020
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