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Organization
EASTERN NEUROSURGICAL AND SPINE ASSOCIATES, INC.
Active
Organization
EASTERN NEUROSURGICAL AND SPINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA DENNIE MCKEITHAN RHIT (CREDENTIALING SPECIALIST)
(252) 752-5156
Entity
Organization
Contact information
Practice address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
(252) 752-5156
(252) 752-0399
Mailing address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
(252) 752-5156
(252) 752-0399
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9300351
NC
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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