Organization · NPI-2
Carolinaeast Physicians
Urology · Jacksonville, NC
NPI number1689105603
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1689105603
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolinaeast Physicians
- Organization subpart
- No
- Enumeration date
- Mar 22, 2017
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 208M00000X | Hospitalist | – | – |
Practice location
241 Freedom WayJacksonville, NC 28544-1418
Phone 910-938-3099 · Fax 910-938-3243
Mailing address
Po Box 896206Charlotte, NC 28289-6206
Phone 910-938-3099 · Fax 910-938-3243
Authorized official
Tammy Sherron
Vp Finance/Cfo
2526338880
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