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Organization
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
Active
Organization
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK EDWARD HARUM M.D. (OWNER/ PHYSICIAN)
(252) 636-0300
Entity
Organization
Contact information
Practice address
2111 NEUSE BLVD. SUITE J, NEW BERN, NC 28560
(252) 636-0300
(252) 636-0335
Mailing address
2111 NEUSE BLVD. SUITE J, NEW BERN, NC 28560-4317
(252) 636-0300
(252) 636-0335
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
07/25/2018
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