Organization
EAST CAROLINA UNIVERSITY
Active
Organization
EAST CAROLINA UNIVERSITY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON FOLTZ DO (MEDICAL DIRECTOR)
(252) 744-1882
Entity
Organization
Contact information
Practice address
BRODY OUTPATIENT CENTER, 600 MOYE BLVD, GREENVILLE, NC 27858
(252) 744-2207
(252) 744-3224
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3520
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07027
BCBS NC GROUP PROVIDER #
NC
05
—
8907027
—
NC
Enumeration date
05/10/2006
Last updated
11/03/2020
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