Organization
EAST CAROLINA UNIVERSITY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A FOLTZ D.O. (MEDICAL DIRECTOR)
(252) 744-1882
Entity
Organization
Contact information
Practice address
BRODY OUTPATIENT CENTER, 600 MOYE BLVD, GREENVILLE, NC 27858
(252) 744-2207
(252) 744-3224
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132A
GROUP PROVIDER NUMBER
NC
05
—
8907012
—
NC
Enumeration date
05/09/2006
Last updated
11/04/2020
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