Provider Demographics
NPI:1780688119
Name:HOWIE, EUGENIA BROOKS (MD)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:BROOKS
Last Name:HOWIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4897 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2162
Mailing Address - Country:US
Mailing Address - Phone:910-737-3147
Mailing Address - Fax:910-738-3764
Practice Address - Street 1:101 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-1951
Practice Address - Country:US
Practice Address - Phone:910-628-0655
Practice Address - Fax:910-628-0158
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC18680OtherBLUE CROSS BLUE SHIELD
NC8918680Medicaid
NC18680OtherBLUE CROSS BLUE SHIELD
NC2258070AMedicare ID - Type Unspecified