Organization · NPI-2

East Carolina University

Internal Medicine · Greenville, NC

NPI number1104864990
StatusActive
Last updated in NPPESAug 9, 2010

Details

NPI
1104864990
Entity type
Organization (NPI-2)
Legal business name
East Carolina University
Organization subpart
No
Enumeration date
Jun 3, 2006
Last updated
Aug 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207N00000X Dermatology––
207P00000X Emergency Medicine––
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––
208VP0000X ––

Other names

  • Ecu Physicians (Doing Business As)

Practice location

600 Moye Blvd
Greenville, NC 27834-4300

Phone 252-744-3253

Mailing address

Po Box 751069
Charlotte, NC 28275-1069

Phone 252-744-3253 · Fax 252-744-3194

Authorized official

Nicholas H. Benson
Medical Director
2527443253

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