Organization
KINSTON DIAGNOSTIC GROUP PA
Active
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
Update your record
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