Organization
EASTERN CAROLINA INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A HOLTON (CHIEF OPERATING OFFICER)
(252) 633-1010
Entity
Organization
Contact information
Practice address
137 MEDICAL LANE, POLLOCKSVILLE, NC 28573-0068
(252) 633-1010
(252) 224-0378
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 633-1010
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
39206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01907
BLUE CROSS
NC
Enumeration date
09/01/2005
Last updated
08/22/2020
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