| Eastern Carolina Internal Medicine Pa | |
|
2117 South Glenburnie Road Ste 9 & 10 New Bern NC 28562-2239 | |
| (252) 636-1001 | |
| (252) 636-1188 |
| Full Name | Eastern Carolina Internal Medicine Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2117 South Glenburnie Road, New Bern, North Carolina |
| Authorized Official Name and Position | Craig A Holton (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2526331010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Carolina Internal Medicine Pa 2117 South Glenburnie Road Ste 9 & 10 New Bern NC 28562-2239 Ph: (252) 636-1001 | Eastern Carolina Internal Medicine Pa 2117 South Glenburnie Road Ste 9 & 10 New Bern NC 28562-2239 Ph: (252) 636-1001 |
| NPI Number | 1093875239 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093875239 | NPI | - | NPPES |
| 01907 | Other | NC | BCBS NC |
| 7902320 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | REGISTRATIONNO39206 (North Carolina) | Primary |
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