Organization
CAROLINAEAST PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SHERRON (VP FINANCE/CFO)
(252) 633-8880
Entity
Organization
Contact information
Practice address
241 FREEDOM WAY, JACKSONVILLE, NC 28544-1418
(910) 938-3099
(910) 938-3243
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(910) 938-3099
(910) 938-3243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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