Organization
VANCEBORO INTERNAL MEDICINE PA
Active
Organization
VANCEBORO INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN BRINSON CPC (MEDICAL BILLING SUPERVISOR)
(252) 672-7730
Entity
Organization
Contact information
Practice address
260 NC HIGHWAY 43, VANCEBORO, NC 28586-8906
(252) 244-4700
(252) 244-4702
Mailing address
260 NC HIGHWAY 43, VANCEBORO, NC 28586-8906
(252) 244-4700
(252) 244-4702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9601712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106L
NORTH CAROLINA BCBS
NC
05
—
891106L
—
NC
Enumeration date
07/23/2007
Last updated
07/23/2007
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