# CAROLINAEAST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CarolinaEast Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164476834
- **Authorized official:** MRS. TAMMY M SHERRON (CFO/ VP FINANCE)
- **Authorized official phone:** (252) 633-8880

## Contact information

- **Practice address:** 620 FARM LIFE AVE, VANCEBORO, NC 28586-7673
- **Practice address phone:** (252) 244-1785
- **Mailing address:** PO BOX 529, VANCEBORO, NC 28586-0529
- **Mailing address phone:** (252) 244-1785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | H0201 | NC | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 10/12/2010
