Organization
LENOIR MEMORIAL HOSPITAL INCORPORATED
Active
Other names
Lenoir Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ELBRIDGE BLACK (PRESIDENT)
(252) 522-7798
Entity
Organization
Contact information
Practice address
518 PLAZA BLVD, SUITE 2, KINSTON, NC 28501-1604
(252) 522-7000
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H0043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1461U
BLUE CROSS
NC
01
—
387500380
TRICARE
NC
05
—
5606988
—
NC
Enumeration date
06/12/2007
Last updated
01/26/2015
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