Organization
EAST CAROLINA NEUROLOGY, INC.
Active
Other names
MRI of Eastern Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH T. HODGES FACHE (ADMINISTRATOR)
(252) 752-4848
Entity
Organization
Contact information
Practice address
402 BOWMAN GRAY DR, GREENVILLE, NC 27834-7209
(252) 752-9000
(252) 752-1763
Mailing address
402 BOWMAN GRAY DR, GREENVILLE, NC 27834-7209
(252) 752-9000
(252) 752-1763
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169R
BLUE CROSS BLUE SHIELD
NC
05
—
890169R
—
NC
Enumeration date
10/11/2006
Last updated
09/16/2008
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