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Organization
ECEP II PA
Active
Organization
ECEP II PA
Active
Other names
Eastern Carolina Emergency Physicians II PA
Organization subpart
No
Provider details
NPI number
Authorized official
DALE KEY (ADMINISTRATOR)
(910) 202-3363
Entity
Organization
Contact information
Practice address
5301 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6510
(843) 237-3378
(843) 237-5073
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 202-3363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01456
BLUE CROSS BLUE SHIELD
NC
05
—
5906010
—
NC
05
—
7901456
—
NC
01
—
CI9263
RAILROAD MEDICARE
NC
05
—
NPA863
—
SC
Enumeration date
11/28/2006
Last updated
10/12/2020
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