Jonathan Privette, MD | |
600 Moye Blvd, Ecu Physicians Brody Outpatient Center, Greenville, NC 27834-4300 | |
(252) 744-4655 | |
(252) 744-3650 |
Full Name | Jonathan Privette |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology |
Location | 600 Moye Blvd, Greenville, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508079658 | NPI | - | NPPES |
5922084 | Medicaid | NC | |
174UW | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZF0201X | Pathology - Forensic Pathology | 2008-01686 (North Carolina) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 2008-01686 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jonathan Privette, MD Po Box 751069, Ecu Physicians, Charlotte, NC 28275-1069 Ph: (252) 744-3258 | Jonathan Privette, MD 600 Moye Blvd, Ecu Physicians Brody Outpatient Center, Greenville, NC 27834-4300 Ph: (252) 744-4655 |
Dr. John D Christie, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Ecu Physicians Pathology Brody Outpatient Center, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Cisley Cassmirra Hines, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2183 Fax: 252-744-3616 | |
Dr. Joseph P Pestaner, MD Pathology Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Ecu Physicians Pathology, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Shoujun Chen, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Karen Kelly, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Dr. Kim Robert Geisinger, MD Pathology Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2803 Fax: 252-744-3616 | |
Dr. Lydia Franks, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Brody Outpatient Center, Greenville, NC 27834 Phone: 252-744-5911 |