Healthcare Provider Details

I. General information

NPI: 1164469920
Provider Name (Legal Business Name): EUGENE B NOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E DR MARTIN LUTHER KING JR DR
MAXTON NC
28364-1800
US

IV. Provider business mailing address

60 COMMERCE PLZ
PEMBROKE NC
28372-7386
US

V. Phone/Fax

Practice location:
  • Phone: 910-844-5253
  • Fax: 910-844-3290
Mailing address:
  • Phone: 910-521-2900
  • Fax: 910-775-9165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2010-01329
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: