Organization
EAGLE PHYSICIANS AND ASSOCIATES PA
Active
Parent organization
EAGLE PHYSICIANS AND ASSOCIATES P.A.
Other names
Eagle at West Friendly
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE PHYSICIANS AND ASSOCIATES P.A.
Authorized official
TERRI JONES (DIRECTOR OF EAGLE BUSINESS SERVICES)
(336) 274-6515
Entity
Organization
Contact information
Practice address
5921 W FRIENDLY AVE STE D, GREENSBORO, NC 27410-3268
(336) 274-6515
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/24/2023
Last updated
10/25/2023
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