# EASTERN PHYSICAL MEDICINE & REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275857294
- **Authorized official:** BILLY RAY SMITH MD (OWNER)
- **Authorized official phone:** (252) 215-9294

## Contact information

- **Practice address:** 2245 STANTONSBURG RD STE A, GREENVILLE, NC 27834-2868
- **Practice address phone:** (252) 215-9294
- **Practice address fax:** (252) 215-9279
- **Mailing address:** 2245 STANTONSBURG RD STE A, GREENVILLE, NC 27834-2868
- **Mailing address phone:** (252) 215-9294
- **Mailing address fax:** (252) 215-9279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 200200604 | NC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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