| Med Careeast P A | |
|
2485 Hemby Ln D Greenville NC 27834-3733 | |
| (252) 758-5888 | |
| (252) 758-9888 |
| Full Name | Med Careeast P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 2485 Hemby Ln, Greenville, North Carolina |
| Authorized Official Name and Position | Regina L Hathaway (PRESIDENT/OWNER) |
| Authorized Official Contact | 2527585888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Careeast P A 1425 East Firetower Road 100 Greenville NC 27858-4131 Ph: (252) 758-5888 | Med Careeast P A 2485 Hemby Ln D Greenville NC 27834-3733 Ph: (252) 758-5888 |
| NPI Number | 1093904278 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 04/10/2013 |
| Medicare PECOS PAC ID | 6305936493 |
|---|---|
| Medicare Enrollment ID | O20071212000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093904278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Regina L Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982661930 PECOS PAC ID: 1254320757 Enrollment ID: I20040510001185 |
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