Organization
CAROLINAEAST MEDICAL CENTER
Active
Other names
CarolinaEast Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY M SHERRON (CFO/ VP FINANCE)
(252) 633-8880
Entity
Organization
Contact information
Practice address
620 FARM LIFE AVE, VANCEBORO, NC 28586-7673
(252) 244-1785
Mailing address
PO BOX 529, VANCEBORO, NC 28586-0529
(252) 244-1785
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H0201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254H
NCBCBS
NC
05
—
890254H
—
NC
Enumeration date
05/19/2006
Last updated
10/12/2010
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