Organization
PREECHA BHOTIWIHOK MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREECHA BHOTIWIHOK MD (PRESIDENT)
(800) 277-8151
Entity
Organization
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(800) 277-8151
(336) 841-6217
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178E
BLUE CROSS BLUE SHIELD
NC
05
—
890178E
—
NC
Enumeration date
04/21/2006
Last updated
07/24/2007
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