Organization Name: | PHYSICIANS EAST PA |
NPI Number: | 1033115407 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HALE HAMPTON STEPHENSON (PRESIDENT) |
Mailing Address: | 3681 N Main St Farmville |
State: | NC US |
Postal Code: | 278281464 |
Phone Number: | 2527537141 |
Fax Number: | 2527535834 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |