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Organization

EAST CAROLINA UNIVERSITY

Active
Other names
ECU Physicians Med-Peds Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON A FOLTZ D.O. (MEDICAL DIRECTOR)
(252) 744-1882
Entity
Organization

Contact information

Practice address
517 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-0766
(252) 744-0392
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QA0505X
Adult Medicine Physician
208000000X
Pediatrics Physician
Primary
2080A0000X
Pediatric Adolescent Medicine Physician

Other

Enumeration date
06/26/2014
Last updated
01/26/2024
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