| Ecu Physicians | |
|
905 Johns Hopkins Dr Greenville NC 27834-2056 | |
| (252) 744-1406 | |
| (252) 744-2419 |
| Full Name | Ecu Physicians |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 905 Johns Hopkins Dr, Greenville, North Carolina |
| Authorized Official Name and Position | Jason A Foltz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2527441882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecu Physicians Po Box 751069 Charlotte NC 28275-1069 Ph: () - | Ecu Physicians 905 Johns Hopkins Dr Greenville NC 27834-2056 Ph: (252) 744-1406 |
| NPI Number | 1760433114 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760433114 | NPI | - | NPPES |
| 6005201 | Medicaid | NC | |
| 07027 | Other | NC | BCBS NC GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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