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Contact Information

PHYSICIANS EAST, PA
416 MCCRAE STREET
GRIFTON, NC28530
 Phone: 252-524-5463
 Fax: 252-524-0681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PHYSICIANS EAST PA · (Female)

NPI Number 1093772600
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2006
Last updated 04/29/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # NC AP 0000 1014
  • NC Medicaid 890293U
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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