| Ecu Physicians | |
|
Human Performance Lab 363 Ward Sports Medicine Building Greenville NC 27858 | |
| (252) 744-3977 | |
| (252) 744-4689 |
| Full Name | Ecu Physicians |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | Human Performance Lab, Greenville, North Carolina |
| Authorized Official Name and Position | Nicholas H. Benson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2527447400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecu Physicians Po Box 751069 Charlotte NC 28275-1069 Ph: (252) 744-3253 | Ecu Physicians Human Performance Lab 363 Ward Sports Medicine Building Greenville NC 27858 Ph: (252) 744-3977 |
| NPI Number | 1114978517 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114978517 | NPI | - | NPPES |
| 014A8 | Other | NC | BCBS NC GROUP PROVIDER # |
| 89014A8 | Medicaid | NC | |
| 03015 | Other | NC | BCBS NC GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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