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Organization

EASTERN CAROLINA GERIATRIC ASSOCIATES & FAMILY CARE CTR PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN WALLACE FERGUSON MD (PRESIDENT)
(252) 332-6484
Entity
Organization

Contact information

Practice address
105 COMMERCE STREET, POWELLSVILLE, NC 27967-0040
(252) 332-6484
(252) 332-1660
Mailing address
105 COMMERCE STREET, POWELLSVILLE, NC 27967-0040
(252) 332-6484
(252) 332-1660

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950178
NC
05
8931664
NC
Enumeration date
05/30/2008
Last updated
12/17/2009
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