Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edenton Urology Clinic

Organization Urology Physician · NPI 1578630398

Edenton Urology Clinic is an Urology Physician in Edenton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

210 N Broad St
Edenton, NC 27932
Phone: (252) 482-1606
Fax: (252) 482-1611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 9900331 (NC)

Record details

NPI number1578630398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Reynolds — President · (252) 482-1606
NPI enumeratedNovember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address210 N Broad St, Edenton, NC 27932-1904

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