Organization
CAROLINA INTERNAL MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R CERVI M.D. (OWNER)
(252) 830-2021
Entity
Organization
Contact information
Practice address
2460 EMERALD PL, GREENVILLE, NC 27834-5784
(252) 830-2021
(252) 830-2042
Mailing address
2460 EMERALD PL, GREENVILLE, NC 27834-5784
(252) 830-2021
(252) 830-2042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190M
BCBS OF NC
NC
01
—
77639
MEDCOST
NC
Enumeration date
10/05/2006
Last updated
08/22/2020
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