Individual
EDWIN PHILLIP BOUNOUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-9090
(252) 634-9915
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 634-9090
(252) 634-9915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28138
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17082
BCBS OF NC
NC
05
—
8917082
—
NC
Enumeration date
05/20/2006
Last updated
03/26/2014
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