Healthcare Provider Details

I. General information

NPI: 1396040689
Provider Name (Legal Business Name): ECU PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MOYE BLVD
GREENVILLE NC
27834-4300
US

IV. Provider business mailing address

600 MOYE BLVD
GREENVILLE NC
27834-4300
US

V. Phone/Fax

Practice location:
  • Phone: 252-744-1846
  • Fax: 252-744-2709
Mailing address:
  • Phone: 252-744-1846
  • Fax: 252-744-2709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. RUTH SPARROW PARISH
Title or Position: DIRECTOR OF PHARMACY
Credential: RPH
Phone: 252-744-1846