Provider Demographics
NPI:1194809327
Name:LAND, EURGIA CHARLES (MD)
Entity type:Individual
Prefix:
First Name:EURGIA
Middle Name:CHARLES
Last Name:LAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7324
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27835-7324
Mailing Address - Country:US
Mailing Address - Phone:252-758-7122
Mailing Address - Fax:252-830-6297
Practice Address - Street 1:3110 EVANS ST
Practice Address - Street 2:SUITE E
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7699
Practice Address - Country:US
Practice Address - Phone:252-758-7122
Practice Address - Fax:252-830-6297
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22135207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine