Organization
EASTERN NEUROSURGICAL AND SPINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA DENNIE MCKEITHAN RHIT (CREDENTIALING SPECIALIST)
(252) 752-5156
Entity
Organization
Contact information
Practice address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
(252) 752-5156
(252) 752-0399
Mailing address
2325 STANTONSBURG RD, GREENVILLE, NC 27834-7534
(252) 752-5156
(252) 752-0399
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9300351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901516
—
NC
Enumeration date
12/18/2006
Last updated
08/22/2020
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