Chowan Professional Services, LLC

NPI #1396979332 in Edenton, North Carolina

Provider Information

NPI Number: 1396979332
Entity Type: Organization
Organization Name: Chowan Professional Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EAST CAROLINA HEALTH - CHOWAN INC.
Primary Specialty: Surgery
Enumeration Date: May 5, 2009
Last Updated: May 21, 2009

Practice Location

Address: 203 EARNHART DR
Address 2: SUITE B
City: Edenton
State: North Carolina
ZIP Code: 27932-8401
Phone: (252) 482-6836

Authorized Official

Name: MR. MICHAEL DACUS
Title: MANAGER
Phone: (252) 482-6175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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