Eastern Healthcare Associates | |
2245 Stantonsburg Rd Suite 0 Greenville NC 27834-2868 | |
(252) 689-6524 | |
(252) 689-6585 |
Full Name | Eastern Healthcare Associates |
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Speciality | Family Medicine |
Location | 2245 Stantonsburg Rd, Greenville, North Carolina |
Authorized Official Name and Position | Billy Ray Smith (OWNER) |
Authorized Official Contact | 2526896524 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastern Healthcare Associates 2245 Stantonsburg Rd Suite 0 Greenville NC 27834-2868 Ph: (252) 689-6524 | Eastern Healthcare Associates 2245 Stantonsburg Rd Suite 0 Greenville NC 27834-2868 Ph: (252) 689-6524 |
NPI Number | 1215303359 |
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Provider Enumeration Date | 08/12/2015 |
Last Update Date | 03/14/2016 |
Medicare PECOS PAC ID | 2466752829 |
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Medicare Enrollment ID | O20151208001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215303359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (North Carolina) | Primary |
Provider Name | Billy R Smith |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1346275260 PECOS PAC ID: 9234115759 Enrollment ID: I20040625000773 |
Provider Name | Cora P Kearley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417176579 PECOS PAC ID: 3274624143 Enrollment ID: I20070807000230 |
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