| Eastern Headache And Spine, Pa | |
|
498 A Red Banks Road Greenville NC 27858 | |
| (252) 215-3067 | |
| Not Available |
| Full Name | Eastern Headache And Spine, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 498 A Red Banks Road, Greenville, North Carolina |
| Authorized Official Name and Position | James Bryan Cooper (OWNER) |
| Authorized Official Contact | 2522153067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Headache And Spine, Pa 498 A Red Banks Road Greenville NC 27858 Ph: (252) 215-3067 | Eastern Headache And Spine, Pa 498 A Red Banks Road Greenville NC 27858 Ph: (252) 215-3067 |
| NPI Number | 1952531642 |
|---|---|
| Provider Enumeration Date | 07/16/2009 |
| Last Update Date | 03/11/2010 |
| Medicare PECOS PAC ID | 2769520972 |
|---|---|
| Medicare Enrollment ID | O20091109000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952531642 | NPI | - | NPPES |
| 1363X | Other | BLUE CROSS BLUE SHIELD | |
| 891363X | Medicaid | NC |
| Provider Name | James B Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356436745 PECOS PAC ID: 3779563853 Enrollment ID: I20040720001596 |
| Provider Name | Amy A Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861799074 PECOS PAC ID: 6305020512 Enrollment ID: I20110413000475 |
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