Organization
PRIMEVISION KINSTON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY CRAWFORD THIGPEN (INSURANCE MANAGER)
(252) 522-1611
Entity
Organization
Contact information
Practice address
2502 N HERRITAGE ST, KINSTON, NC 28501-1501
(252) 522-1611
(252) 522-0189
Mailing address
2502 N HERRITAGE ST, KINSTON, NC 28501-1501
(252) 522-1611
(252) 522-0189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901153
—
NC
05
—
8928336
—
NC
05
—
8989526
—
NC
Enumeration date
08/18/2005
Last updated
08/01/2013
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