Provider Demographics
NPI:1871363242
Name:EAGLE PHYSICIANS AND ASSOCIATES, P.A.
Entity type:Organization
Organization Name:EAGLE PHYSICIANS AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EAGLE BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-274-6515
Mailing Address - Street 1:324 W WENDOVER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8438
Mailing Address - Country:US
Mailing Address - Phone:336-274-6515
Mailing Address - Fax:
Practice Address - Street 1:1910 N CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5665
Practice Address - Country:US
Practice Address - Phone:336-676-4388
Practice Address - Fax:336-419-0042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAGLE PHYSICIANS AND ASSOCIATES, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-05
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty