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Organization
ARTHUR GRAY INCORPORATED
Active
Organization
ARTHUR GRAY INCORPORATED
Active
Other names
Crystal Coast EMG-NCV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ARTHUR FREEMAN PT (PRESIDENT)
(252) 726-1192
Entity
Organization
Contact information
Practice address
1507 LIVE OAK ST, SUITE D, BEAUFORT, NC 28516-1573
(252) 838-8810
Mailing address
1700 CALICO DR, MOREHEAD CITY, NC 28557-4423
(252) 726-1192
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
1028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018PG
GROUP BLUE CROSS #
NC
01
—
079MN
INDIVIDUAL BLUE CROSS #
NC
01
—
1689698482
INDIVIDUAL NPI #
NC
05
—
7211662
—
NC
05
—
7212089
—
NC
Enumeration date
01/29/2007
Last updated
08/22/2020
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