Organization
CAROLINAEAST PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SHERRON (VP FINANCE/CFO)
(252) 633-8880
Entity
Organization
Contact information
Practice address
201 WILLIAMSBURG PKWY, JACKSONVILLE, NC 28546-6856
(910) 353-4500
(910) 353-5610
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(910) 353-4500
(910) 353-5610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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