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Organization

KINSTON DIAGNOSTIC GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE HARPER WEST MD (PRESIDENT)
(252) 522-3661
Entity
Organization

Contact information

Practice address
109 AIRPORT ROAD, KINSTON, NC 28501-1693
(252) 522-3661
(252) 522-0117
Mailing address
109 AIRPORT ROAD, KINSTON, NC 28501-1693
(252) 522-3661
(252) 522-0117

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02965
BCBS
05
7902965
NC
Enumeration date
11/14/2005
Last updated
01/28/2010
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