| East Carolina Medical Associates P.c | |
|
25 Office Park Dr Jacksonville NC 28546-3219 | |
| (910) 353-4878 | |
| (910) 353-2258 |
| Full Name | East Carolina Medical Associates P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Office Park Dr, Jacksonville, North Carolina |
| Authorized Official Name and Position | Abayomi Wilkins Osunkoya (CEO) |
| Authorized Official Contact | 9103534878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Carolina Medical Associates P.c Po Box 12549 Jacksonville NC 28546-2549 Ph: (910) 353-4878 | East Carolina Medical Associates P.c 25 Office Park Dr Jacksonville NC 28546-3219 Ph: (910) 353-4878 |
| NPI Number | 1245255488 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 02/02/2015 |
| Medicare PECOS PAC ID | 6608815386 |
|---|---|
| Medicare Enrollment ID | O20050615001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245255488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 200101258 (North Carolina) | Primary |
| Provider Name | Abayomi W Osunkoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164416806 PECOS PAC ID: 7618916396 Enrollment ID: I20050502001158 |
| Provider Name | Janice King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770116998 PECOS PAC ID: 3870924871 Enrollment ID: I20200507000084 |
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