Healthcare Provider Details

I. General information

NPI: 1407157142
Provider Name (Legal Business Name): CAROLINAEAST PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 MCCARTHY BLVD
NEW BERN NC
28562-5231
US

IV. Provider business mailing address

PO BOX 896206
CHARLOTTE NC
28289-6206
US

V. Phone/Fax

Practice location:
  • Phone: 252-276-7100
  • Fax: 252-633-8396
Mailing address:
  • Phone: 252-276-7100
  • Fax: 252-633-8396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAMMY M SHERRON
Title or Position: VP FINANCE/CFO
Credential:
Phone: 252-633-8880