| Enc Peds PLLC | |
|
222b Virginia Rd Edenton NC 27932-9667 | |
| (252) 484-9024 | |
| (252) 404-8424 |
| Full Name | Enc Peds PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 222b Virginia Rd, Edenton, North Carolina |
| Authorized Official Name and Position | Ian Luke Bryan (CEO) |
| Authorized Official Contact | 2524849024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enc Peds PLLC 222b Virginia Rd Edenton NC 27932-9667 | Enc Peds PLLC 222b Virginia Rd Edenton NC 27932-9667 Ph: (252) 484-9024 |
| NPI Number | 1518692797 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518692797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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