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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
2355 W ARLINGTON BLVD, NEPHROLOGY/HYPERTENSION CLINIC, GREENVILLE, NC 27834
(252) 744-2207
(252) 744-4887
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07027
BCBS NC GROUP PROVIDER #
NC
05
8902780
NC
05
8907027
NC
Enumeration date
05/10/2006
Last updated
07/09/2008
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