Eden Internal Medicine Pllc

LBN: Eden Internal Medicine Pllc
Eden Internal Medicine Pllc is an health care organization with primary practice located at 405 Thompson St , Eden NC 27288-5045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Eden Internal Medicine Pllc can be contacted via phone (336) 627-4896, or through Wine, Joyce C via phone (336) 627-4896.

Contact Information

Primary practice address
405 Thompson St Eden NC 27288-5045
Phone: (336) 627-4896
Fax: (336) 627-0139
Website:
Map and Directions
Authorized official contact:
Name: Wine, Joyce C
Phone: (336) 627-4896

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X North Carolina

Profile Details

NPI number 1730288895
LBN Legal business name Eden Internal Medicine Pllc
DBA Doing business as
Authorized official Wine, Joyce C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730288895 NPPES
North Carolina MEDICAID 7901564

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