Organization
EAST CAROLINA NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH THATCHER HODGES FACHE (ADMINISTRATOR)
(252) 752-4848
Entity
Organization
Contact information
Practice address
2280 HEMBY LN, GREENVILLE, NC 27834-3773
(252) 752-4848
(252) 752-9607
Mailing address
2280 HEMBY LN, GREENVILLE, NC 27834-3773
(252) 752-4848
(252) 752-9607
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2646
NC
103TC0700X
Clinical Psychologist
1188
NC
207ZN0500X
Neuropathology Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01478
BLUE CROSS BLUE SHIELD
NC
01
—
6005989
MEDICAID MENTAL HEALTH
NC
05
—
8901478
—
NC
Enumeration date
10/02/2006
Last updated
09/02/2009
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