Provider Demographics
NPI:1609058601
Name:EUGENE D DAY MD PA
Entity Type:Organization
Organization Name:EUGENE D DAY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:DAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:919-693-8126
Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-0730
Mailing Address - Country:US
Mailing Address - Phone:919-693-8126
Mailing Address - Fax:919-693-6811
Practice Address - Street 1:104 NEW COLLEGE ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2929
Practice Address - Country:US
Practice Address - Phone:919-693-8126
Practice Address - Fax:919-693-6811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02818OtherBCBS
NC8902818Medicaid
NC8902818Medicaid