Organization
EASTERN PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOICHA G RAY (ADMINISTRATIVE/FINANCIAL SUPERVISOR)
(252) 561-7777
Entity
Organization
Contact information
Practice address
1901 STONEHENGE DR, GREENVILLE, NC 27858-5067
(252) 561-7777
(252) 561-7778
Mailing address
1901 STONEHENGE DR, GREENVILLE, NC 27858-5067
(252) 561-7777
(252) 561-7778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
970062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2348101
MEDICARE
NC
05
—
5950204
—
NC
Enumeration date
02/27/2007
Last updated
10/09/2023
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