Individual
DR. THEODORE RICHARD DELBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, ECU PHYSICIANS EMERGENCY MEDICINE AT PCMH, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, DEPARTMENT OF EMERGENCY MEDICINE, 3ED-313, CHARLOTTE, NC 28275-1069
(252) 744-3253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD044801L
PA
207P00000X
Emergency Medicine Physician
Primary
2006-00362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001292198
—
PA
01
—
1418P
BCBSNC
NC
05
—
5903616
—
NC
Enumeration date
02/07/2006
Last updated
11/02/2011
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