Organization
BELHAVEN FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH C GUY (OFFICE MANAGER)
(252) 943-6114
Entity
Organization
Contact information
Practice address
161 E WATER ST, BELHAVEN, NC 27810-1424
(252) 943-3114
(252) 943-3281
Mailing address
161 E WATER ST, BELHAVEN, NC 27810-1424
(252) 943-3114
(252) 943-3281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125Y
BC OF NC
NC
05
—
890125Y
—
NC
Enumeration date
12/13/2005
Last updated
07/25/2012
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