Organization
EASTERN MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP DOUGLAS MAYO M.D. (PRESIDENT)
(919) 734-1779
Entity
Organization
Contact information
Practice address
2609 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9428
(919) 734-1779
(919) 734-7570
Mailing address
2609 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9428
(919) 734-1779
(919) 734-7570
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890112R
—
NC
01
—
CI3418
MEDICARE RAILROAD
NC
Enumeration date
06/01/2006
Last updated
01/07/2014
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