Organization
VIDANT MEDICAL GROUP LLC
Active
Parent organization
VIDANT MEDICAL GROUP LLC
Other names
Vidant Endoscopy Center-Kinston
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDANT MEDICAL GROUP LLC
Authorized official
MR. ANTHONY WAYNE BARHOLOMEW (VP, OPERACTIONS)
(252) 847-9067
Entity
Organization
Contact information
Practice address
701 DOCTORS DR STE N, KINSTON, NC 28501-1584
(252) 559-2200
(252) 522-5662
Mailing address
PO BOX 8423, GREENVILLE, NC 27835-8423
(252) 847-9067
(252) 847-7091
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0122
NC
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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