Organization
EASTERN CAROLINA INTERNAL MEDICINE PA
Active
Other names
Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A HOLTON (CHIEF OPERATING OFFICER)
(252) 633-1010
Entity
Organization
Contact information
Practice address
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562
(252) 636-1919
(252) 636-2656
Mailing address
PO BOX 13187, NEW BERN, NC 28561-3187
(252) 636-1919
(252) 636-2656
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
REGISTRATION39206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01907
BCBS NC
NC
05
—
890235U
—
NC
Enumeration date
11/14/2006
Last updated
08/22/2020
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