Organization
EDEN INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE C WINE (OFFICE MANAGER)
(336) 627-4896
Entity
Organization
Contact information
Practice address
405 THOMPSON ST, EDEN, NC 27288-5045
(336) 627-4896
(336) 627-0139
Mailing address
405 THOMPSON ST, EDEN, NC 27288-5045
(336) 627-4896
(336) 627-0139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901564
—
NC
Enumeration date
09/22/2006
Last updated
08/22/2020
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