Organization
EAST COAST MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAY YOCUM PA-C (OWNER)
(910) 329-0300
Entity
Organization
Contact information
Practice address
22545B HWY 17 N, HAMPSTEAD, NC 28443
(910) 329-0300
(910) 329-0307
Mailing address
22545B HWY 17 N, HAMPSTEAD, NC 28443
(910) 329-0300
(910) 329-0307
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
39512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017N3
BLUE CROSS GROUP
NC
01
—
183715
MEDCOST GROUP
NC
05
—
5901781
—
NC
01
—
P00310136
RAILROAD MEDICARE
NC
Enumeration date
10/05/2006
Last updated
11/02/2022
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