Organization
EASTERN CARTERET MEDICAL CENTER
Active
Organization
EASTERN CARTERET MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER WARDELL M.D. (PHYSCIAN)
(252) 225-1134
Entity
Organization
Contact information
Practice address
458 HIGHWAY 70 EAST, SEA LEVEL, NC 28577-0130
(252) 225-1134
(252) 225-1165
Mailing address
458 HIGHWAY 70 EAST, SEA LEVEL, NC 28577
(252) 225-1134
(252) 225-1165
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0275J
BLUE CROSS BLUE SHIELD
NC
05
—
8907640
—
NC
Enumeration date
04/19/2006
Last updated
08/20/2008
Update your record
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