| Eastern Carolina Internal Medicine Pa | |
|
137 Medical Lane Pollocksville NC 28573-0068 | |
| (252) 633-1010 | |
| (252) 224-0378 |
| Full Name | Eastern Carolina Internal Medicine Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 137 Medical Lane, Pollocksville, North Carolina |
| Authorized Official Name and Position | Craig A Holton (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2526331010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Carolina Internal Medicine Pa Po Box 68 Pollocksville NC 28573-0068 Ph: (252) 633-1010 | Eastern Carolina Internal Medicine Pa 137 Medical Lane Pollocksville NC 28573-0068 Ph: (252) 633-1010 |
| NPI Number | 1598759896 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598759896 | NPI | - | NPPES |
| 01907 | Other | NC | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 39206 (North Carolina) | Primary |