| Crystal Coast Emg-ncv | |
|
1507 Live Oak St, Suite D, Beaufort, NC 28516-1573 | |
| (252) 838-8810 | |
| Not Available |
| Full Name | Crystal Coast Emg-ncv |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Electrophysiology, Clinical |
| Location | 1507 Live Oak St, Beaufort, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033255799 | NPI | - | NPPES |
| 079MN | Other | NC | INDIVIDUAL BLUE CROSS # |
| 7211662 | Medicaid | NC | |
| 7212089 | Medicaid | NC | |
| 018PG | Other | NC | GROUP BLUE CROSS # |
| 1689698482 | Other | NC | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251E1300X | Physical Therapist - Electrophysiology, Clinical | 1028 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Coast Emg-ncv 1700 Calico Dr, Morehead City, NC 28557-4423 Ph: (252) 726-1192 | Crystal Coast Emg-ncv 1507 Live Oak St, Suite D, Beaufort, NC 28516-1573 Ph: (252) 838-8810 |
Jason Richard Kalivoda, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 252-726-1802 Fax: 252-726-1805 | |
Mrs. Katherine W Price, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 Live Oak St, Beaufort, NC 28516 Phone: 252-732-4618 | |
Chance Jennings Cox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 910-332-3800 Fax: 910-663-9058 | |
Beaufort Physical Therapy Limited Partnership Physical Therapist Medicare: Medicare Enrolled Practice Location: 106-a Professional Park Dr, Beaufort, NC 28516 Phone: 252-838-0222 Fax: 252-838-0224 | |
Rachel Dawson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Professional Park Dr, Beaufort, NC 28516 Phone: 252-726-1802 | |
Mr. Mark B Wise, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106a Professional Park Dr, Beaufort, NC 28516 Phone: 252-838-0222 Fax: 252-838-0224 |