Organization
EAST COVE PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER DANIEL SHANNON JR. M.D. (OWNER/M.D.)
(252) 523-2781
Entity
Organization
Contact information
Practice address
1305 N QUEEN ST, KINSTON, NC 28501-2965
(252) 523-2781
(252) 523-2711
Mailing address
1305 N QUEEN ST, KINSTON, NC 28501-2965
(252) 523-2781
(252) 523-2711
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
200301170
NC
Other
Enumeration date
12/27/2007
Last updated
11/05/2010
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