Organization
EAST CAROLINA UNIVERSITY
Active
Other names
ECU Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A FOLTZ D.O. (MEDICAL DIRECTOR)
(252) 744-1882
Entity
Organization
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131A
BCBS NC GROUP PROVIDER #
NC
01
—
07027
BCBS NC GROUP PROVIDER #
NC
05
—
7907014
—
NC
05
—
8907027
—
NC
Enumeration date
05/10/2006
Last updated
01/21/2021
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