Organization
EAST CAROLINA NEUROLOGY
Active
Organization
EAST CAROLINA NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN B AVERY (ADMINISTRATIVE ASSISTANT)
(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
1188
NC
103G00000X
Clinical Neuropsychologist
2646
NC
103TC0700X
Clinical Psychologist
1188
NC
103TC0700X
Clinical Psychologist
Primary
2646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005989
—
NC
Enumeration date
02/18/2010
Last updated
02/18/2010
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