Organization
EAST CAROLINA HEALTH
Active
Other names
Women's Care of Ahoskie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON GRAHAM (CHIEF FINANCIAL OFFICER)
(252) 209-3610
Entity
Organization
Contact information
Practice address
700 ACADEMY ST S, AHOSKIE, NC 27910-3264
(252) 209-3614
Mailing address
700 ACADEMY ST S, AHOSKIE, NC 27910-3264
(252) 209-3614
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H0001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015R2
BCBS GROUP #
NC
05
—
89015R2
—
NC
01
—
CH9789
RR MEDICARE
NC
Enumeration date
01/04/2006
Last updated
04/28/2008
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