Organization
EASTERN REGIONAL PAIN SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MORGAN LONG M.D. (PRESIDENT)
(919) 751-8444
Entity
Organization
Contact information
Practice address
2605 HOSPITAL RD, GOLDSBORO, NC 27534-9424
(919) 751-8444
(919) 751-0890
Mailing address
1208 PARKWAY DR STE C, GOLDSBORO, NC 27534-9432
(919) 751-8444
(919) 751-0890
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
138987
NC
332B00000X
Durable Medical Equipment & Medical Supplies
138987
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG8738
RAILROAD MEDICARE
NC
Enumeration date
01/15/2007
Last updated
07/22/2021
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