Edenton Urology Clinic in Edenton - Urology
Edenton Urology Clinic - NPI 1578630398
Edenton Urology Clinic is a Urology in Edenton, North Carolina. Edenton Urology Clinic practices all healthcare services and medical treatments related to Urology. The NPI Number for Edenton Urology Clinic is 1578630398. The last update date is 2020-08-22.
Edenton Urology Clinic's current location address is 210 N Broad St, Edenton, North Carolina. You can contact this provider via phone number 2524821606 and fax number 2524821611. The mailing address for Edenton Urology Clinic is 210 N Broad St, Edenton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edenton Urology Clinic |
|---|---|
| Address | 210 N Broad St, Edenton, North Carolina |
| Phone Number | 2524821606 |
| Fax Number | 2524821611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reynolds Crist Joel |
| Credentials | MD |
| Telephone Number | 2524821606 |
NPI Number Detail
| NPI Number | 1578630398 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 210 N Broad St |
|---|---|
| City | Edenton |
| State | North Carolina (NC) |
| Post Code | 279321904 |
| Phone Number | 2524821606 |
| Fax Number | 2524821611 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 9900331 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0289T | BCBS | ||
| 790289T | NC | -- |
Post Comment/ Review Below
What is the Edenton Urology Clinic's 1578630398?
The Edenton Urology Clinic's NPI (National Provider Identifier) Number is 1578630398. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edenton Urology Clinic's physical address?
The Edenton Urology Clinic is physically located at 210 N Broad St, in the city of Edenton, NC, with the postal code 279321904.
What is Edenton Urology Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edenton Urology Clinic is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
When was the Edenton Urology Clinic's 1578630398 issued?
The Edenton Urology Clinic's 1578630398 was issued on 2006-11-29.
When was the information pertaining to Edenton Urology Clinic most recently updated or revised?
The details related to Edenton Urology Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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