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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
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562
(252) 638-4023
(252) 633-2833
Mailing address
PO BOX 13187, NEW BERN, NC 28561-3187
(252) 638-4023
(252) 633-2833

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01907
BCBS NC
NC
05
890231U
NC
Enumeration date
11/14/2006
Last updated
08/22/2020
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