Edenton Internal Medicine PA
NPI #1104816396 in Edenton, North Carolina
Provider Information
- NPI Number
- 1104816396
- Entity Type
- Organization
- Organization Name
- Edenton Internal Medicine PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 MARK DR
- City
- Edenton
- State
- North Carolina
- ZIP Code
- 27932-1756
- Phone
- (252) 482-5171
Authorized Official
- Name
- JOSEPH RAY HASKETT JR., MD
- Title
- PRESIDENT
- Phone
- (252) 482-5171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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