Organization
EASTERN CAROLINA INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A HOLTON (CHIEF OPERATING OFFICER)
(252) 633-1010
Entity
Organization
Contact information
Practice address
2117 SOUTH GLENBURNIE ROAD, STE 9 & 10, NEW BERN, NC 28562-2239
(252) 636-1001
(252) 636-1188
Mailing address
2117 SOUTH GLENBURNIE ROAD, STE 9 & 10, NEW BERN, NC 28562-2239
(252) 636-1001
(252) 636-1188
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
REGISTRATIONNO39206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01907
BCBS NC
NC
05
—
7902320
—
NC
Enumeration date
12/11/2006
Last updated
08/22/2020
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