Organization
EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLARD CROMER JR. MD (PARTNER)
(910) 860-8378
Entity
Organization
Contact information
Practice address
1830 OWEN DR, SUITE 103, FAYETTEVILLE, NC 28304-1611
(910) 860-8378
(910) 860-8379
Mailing address
PO BOX 10487, WILMINGTON, NC 28404-0487
(910) 200-9932
(910) 686-8693
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2881808
MEDICARE P TAN NUMBER
NC
05
—
89014H2
—
NC
Enumeration date
07/28/2006
Last updated
04/09/2008
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