| Eastern North Carolina Medical Group, Pllc | |
|
3400 N Wesleyan Blvd Rocky Mount NC 27804-8699 | |
| (252) 985-5187 | |
| (252) 451-2702 |
| Full Name | Eastern North Carolina Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 N Wesleyan Blvd, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Denise H Bailey (MANAGER) |
| Authorized Official Contact | 2524512700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern North Carolina Medical Group, Pllc Po Box 7867 Rocky Mount NC 27804-0867 Ph: (252) 451-2700 | Eastern North Carolina Medical Group, Pllc 3400 N Wesleyan Blvd Rocky Mount NC 27804-8699 Ph: (252) 985-5187 |
| NPI Number | 1154599850 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154599850 | NPI | - | NPPES |
| 89011C5 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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