Organization
EAST CAROLINA UNIVERSITY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS H. BENSON MD (MEDICAL DIRECTOR)
(252) 744-7400
Entity
Organization
Contact information
Practice address
110 RAILROAD STREET, BETHEL FAMILY MEDICINE CENTER, BETHEL, NC 27812
(252) 825-0355
(252) 825-0350
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03015
BCBS NC GROUP PROVIDER #
NC
05
—
8903015
—
NC
05
—
8907017
—
NC
Enumeration date
05/08/2006
Last updated
07/09/2008
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