Organization
LENOIR PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY E. BLACK (PRESIDENT & CEO)
(252) 522-7000
Entity
Organization
Contact information
Practice address
701 DOCTORS DR, SUITE G, KINSTON, NC 28501-1589
(252) 522-4446
(252) 522-4484
Mailing address
701 DOCTORS DR, SUITE G, KINSTON, NC 28501-1589
(252) 522-4446
(252) 522-4484
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
10/09/2015
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