Organization
EASTERN CAROLINA PEDIATRICS PA
Active
Other names
EASTERN CAROLINA PEDIATRICS PA
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M DAVIS (OFFICE MANAGER)
(252) 243-7944
Entity
Organization
Contact information
Practice address
1702 MEDICAL PARK DR W, WILSON, NC 27893-2705
(252) 243-7944
(252) 243-6097
Mailing address
1702 MEDICAL PARK DR W, WILSON, NC 27893-2705
(252) 243-7944
(252) 243-6097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890120E
—
NC
Enumeration date
10/17/2006
Last updated
08/22/2020
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