Individual
DR. JAMES EDWIN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 NEWMAN RD, NEW BERN, NC 28562-5238
(843) 467-2676
(843) 497-9566
Mailing address
PO BOX 3099, MYRTLE BEACH, SC 29578-3099
(843) 467-2676
(843) 497-9566
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
15905
NC
2085B0100X
Body Imaging Physician
15905
NC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
15905
NC
2085N0700X
Neuroradiology Physician
15905
NC
2085N0904X
Nuclear Radiology Physician
15905
NC
2085P0229X
Pediatric Radiology Physician
15905
NC
2085R0001X
Radiation Oncology Physician
15905
NC
2085R0202X
Diagnostic Radiology Physician
Primary
15905
NC
2085R0203X
Therapeutic Radiology Physician
15905
NC
2085R0204X
Vascular & Interventional Radiology Physician
15905
NC
2085R0205X
Radiological Physics Physician
15905
NC
2085U0001X
Diagnostic Ultrasound Physician
15905
NC
Other
Enumeration date
05/25/2010
Last updated
11/21/2013
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