Organization
EASTERN CAROLINA MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ KIRTIKANT VYAS M.D. (OWNER & PRESIDENT)
(919) 894-5787
Entity
Organization
Contact information
Practice address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-5787
(919) 207-2039
Mailing address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-5787
(919) 207-2039
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
41017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890164N
—
NC
Enumeration date
05/26/2006
Last updated
08/22/2020
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