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Organization

EAST CAROLINA UNIVERSITY

Active
Other names
ECU Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS BENSON MD (MEDICAL DIRECTOR)
(252) 744-3253
Entity
Organization

Contact information

Practice address
ECU, BELK ANNEX 5, DEPT. OF COMMUNICATION SCIENCES & DISORDERS, GREENVILLE, NC 27858
(252) 744-3253
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07027
BCBS NC GROUP PROVIDER #
NC
05
720136A
NC
Enumeration date
05/12/2006
Last updated
03/24/2009
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