Organization
KINSTON SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BERRY JR. MD (PRESIDENT)
(252) 522-1626
Entity
Organization
Contact information
Practice address
701 DOCTORS DRIVE, STE A, KINSTON, NC 28501
(252) 522-1626
(252) 522-1486
Mailing address
PO BOX 1316, KINSTON, NC 28503
(252) 522-1626
(252) 522-1486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901980
—
NC
Enumeration date
06/07/2006
Last updated
06/29/2010
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