Organization
LENOIR PHYSICIANS NETWORK LLC
Active
Parent organization
LENOIR PHYSICIANS NETWORK LLC
Other names
Lenoir Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
LENOIR PHYSICIANS NETWORK LLC
Authorized official
GARY BLACK (PRESIDENT/CEO)
(252) 522-7000
Entity
Organization
Contact information
Practice address
701 DOCTORS DR, SUITE L, KINSTON, NC 28501-1589
(252) 527-3043
Mailing address
701 DOCTORS DR, SUITE G, KINSTON, NC 28501-1589
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871993063
—
NC
Enumeration date
08/26/2014
Last updated
06/17/2016
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