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Organization
EASTERN PHYSICAL MEDICINE & REHABILITATION, LLC
Active
Organization
EASTERN PHYSICAL MEDICINE & REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY RAY SMITH MD (OWNER)
(252) 215-9294
Entity
Organization
Contact information
Practice address
2245 STANTONSBURG RD STE A, GREENVILLE, NC 27834-2868
(252) 215-9294
(252) 215-9279
Mailing address
2245 STANTONSBURG RD STE A, GREENVILLE, NC 27834-2868
(252) 215-9294
(252) 215-9279
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
200200604
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
03/19/2010
Last updated
02/18/2021
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