Organization
EASTERN CAROLINA INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A HOLTON (CHIEF OPERATING OFFICER)
(252) 633-1010
Entity
Organization
Contact information
Practice address
532 WEBB BLVD, HAVELOCK, NC 28532-2042
(252) 447-7088
(252) 447-2752
Mailing address
532 WEBB BLVD, HAVELOCK, NC 28532-2042
(252) 447-7088
(252) 447-2752
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
REGISTRATIONNO39206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01907
BCBS NC
NC
05
—
890231Q
—
NC
Enumeration date
11/03/2006
Last updated
08/22/2020
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