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Organization

MOYE MEDICAL ENDOSCOPY CENTER LLC

Active
Other names
East Carolina Endoscopy Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN TODD HICKEY (VP OF CANCER & CLINICAL SERVICES)
(252) 847-7836
Entity
Organization

Contact information

Practice address
521-C MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-8400
(252) 744-6601
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-7479
(252) 847-6372

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0063K
BCBS
NC
05
3409977
NC
Enumeration date
01/08/2008
Last updated
09/24/2014
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