Organization
EAST CAROLINA UNIVERSTIY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS BENSON MD (MEDICAL DIRECTOR)
(252) 744-3253
Entity
Organization
Contact information
Practice address
BRODY OUTPATIENT CENTER, 600 MOYE BLVD, GREENVILLE, NC 27858
(252) 744-2207
(252) 744-3472
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07027
BCBS NC GROUP PROVIDER #
NC
05
—
790277X
—
NC
05
—
8907027
—
NC
Enumeration date
05/09/2006
Last updated
07/08/2008
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