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Organization
EAST CAROLINA UNIVERSITY
Active
Organization
EAST CAROLINA UNIVERSITY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS H. BENSON MD (MEDICAL DIRECTOR)
(252) 744-7400
Entity
Organization
Contact information
Practice address
VIQUEST, 2610 STANTONSBURG ROAD, GREENVILLE, NC 27835
(252) 744-3977
(252) 744-6503
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014A9
GROUP PROVIDER NUMBER
NC
01
—
0315
BCBS NC GROUP PROVIDER #
NC
05
—
89014A9
—
NC
Enumeration date
05/12/2006
Last updated
07/10/2008
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