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Organization
EASTERN CAROLINA PATHOLOGY ASSOCIATES PA
Active
Organization
EASTERN CAROLINA PATHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN COULTER MD (PRESIDENT)
(252) 234-2841
Entity
Organization
Contact information
Practice address
2693 FOREST HILLS RD SW STE B, WILSON, NC 27893-8611
(252) 234-2841
Mailing address
2693 FOREST HILLS RD SW STE B, WILSON, NC 27893-8611
(252) 234-2841
(252) 234-9270
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148J
BCBS OF NC
NC
01
—
22456
MEDCOST
—
01
—
7046195
MAMSI
—
05
—
890148J
—
NC
01
—
CL4298
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
01/03/2020
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