Organization
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK EDWARD HARUM M.D. (OWNER/ PHYSICIAN)
(252) 636-0300
Entity
Organization
Contact information
Practice address
2111 NEUSE BLVD. SUITE J, NEW BERN, NC 28560
(252) 636-0300
(252) 636-0335
Mailing address
2111 NEUSE BLVD. SUITE J, NEW BERN, NC 28560-4317
(252) 636-0300
(252) 636-0335
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8940362
—
NC
Enumeration date
04/04/2006
Last updated
07/25/2018
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