Organization · NPI-2

Carolinaeast Physicians

Internal Medicine · Jacksonville, NC

NPI number1649696691

StatusActive

Last updated in NPPESApr 30, 2026

Details

NPI: 1649696691
Entity type: Organization (NPI-2)
Legal business name: Carolinaeast Physicians
Organization subpart: No
Enumeration date: Mar 14, 2014
Certification date: Apr 30, 2026
Last updated: Apr 30, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
208000000X	Pediatrics	–	–
208800000X	Urology	–	–
208100000X	Physical Medicine & Rehabilitation	–	–
208M00000X	Hospitalist	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207Y00000X	Otolaryngology	–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–

Practice location

4275 Western Blvd
Jacksonville, NC 28546-1100

Phone 910-938-3099 · Fax 910-938-3243

Mailing address

Po Box 896206
Charlotte, NC 28289-6206

Phone 252-633-1010 · Fax 252-224-0378

Authorized official

Tammy Sherron
Vp Finance/Cfo
2526338880

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