Organization
EAST CAROLINA UNIVERSITY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS H. BENSON MD (MEDICAL DIRECTOR)
(252) 744-7400
Entity
Organization
Contact information
Practice address
HUMAN PERFORMANCE LAB, 363 WARD SPORTS MEDICINE BUILDING, GREENVILLE, NC 27858
(252) 744-3977
(252) 744-4689
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014A8
BCBS NC GROUP PROVIDER #
NC
01
—
03015
BCBS NC GROUP PROVIDER #
NC
05
—
89014A8
—
NC
Enumeration date
05/12/2006
Last updated
07/10/2008
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