Organization · NPI-2

East Carolina University

Internal Medicine · Greenville, NC

NPI number1043260474

StatusActive

Last updated in NPPESNov 3, 2020

Details

NPI: 1043260474
Entity type: Organization (NPI-2)
Legal business name: East Carolina University
Organization subpart: No
Enumeration date: May 10, 2006
Certification date: Nov 3, 2020
Last updated: Nov 3, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
208VP0000X		–	–
207N00000X	Dermatology	–	–
207P00000X	Emergency Medicine	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207T00000X	Neurological Surgery	–	–
207V00000X	Obstetrics & Gynecology	–	–
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	–	–
208000000X	Pediatrics	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
208200000X	Plastic Surgery	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
208600000X	Surgery	–	–
208M00000X	Hospitalist	–	–

Other names

Ecu Physicians (Other Name)

Practice location

Brody Outpatient Center
600 Moye Blvd
Greenville, NC 27858

Phone 252-744-2207 · Fax 252-744-3224

Mailing address

Po Box 751069
Charlotte, NC 28275-1069

Phone 252-744-3520 · Fax 252-744-3194

Authorized official

Jason Foltz
Medical Director
2527441882

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