Organization
NORTH CAROLINA INPATIENT MEDICINE ASSOCIATES, PLLC
Active
Parent organization
EAGLE HOSPITAL PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HOSPITAL PHYSICIANS
Authorized official
DR. TALBOT GREENE MCCORMICK III MD (PRESIDENT)
(678) 397-0060
Entity
Organization
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 451-3340
(252) 451-3320
Mailing address
PO BOX 96368, OKLAHOMA CITY, OK 73143-6368
(678) 441-8500
(678) 441-8656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014RM
—
NC
01
—
DA180
RR MEDICARE
NC
Enumeration date
05/16/2006
Last updated
07/31/2014
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