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NPI Code Detail

MEDICARE: DR. JOAN E EAST M.D.

MEDICARE: DR. JOAN E EAST M.D.
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
1207Q00000XFamily Medicine Physician98-00851NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407822521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOAN E EAST M.D.
Provider Business Mailing Address
First Line : PIEDMONT HEALTH SERVICES 299 LLOYD ST
Second Line :
City : CARRBORO
State : NC
Zip : 27510
Country : US
Telephone Number : 919-933-8494
Fax Number : 919-537-0469
Provider Business Practice Location Address
First Line : 7228 MONCURE PITTSBORO RD
Second Line :
City : MONCURE
State : NC
Zip : 27559-9595
Country : US
Telephone Number : 919-542-4991
Fax Number : 919-542-3726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/29/2013

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