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NPI Code Detail

MEDICARE: SEAN M EPPS PAC

MEDICARE: SEAN M EPPS PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant104076NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17650718OTHERNCAETNA ID
2D6930OTHERNCMEDCOST ID

General Provider Information

NPI Number : 1184625303
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN M EPPS PAC
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1041 NOELL LN
Second Line : SUITE 105
City : ROCKY MOUNT
State : NC
Zip : 27804-2058
Country : US
Telephone Number : 252-451-2700
Fax Number : 252-451-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 09/26/2024

Similar Medicare Providers

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1346241601 — DR. JENEE LEE BOWMAN MD
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1972505840 — JOHN H SPENCER PA
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1598767428 — MONICA P MILLS PAC
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1831191758 — CHARLES D HUNTER PA-C
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1487620183 — DR. ROBERT MARK PATE M.D.
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Directions to “ SEAN M EPPS PAC” Practice Location

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