Organization
LENOIR MEMORIAL HOSPITAL INCORPORATED
Active
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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