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NPI Code Detail

MEDICARE: PHYSICIANS EAST, PA

MEDICARE: PHYSICIANS EAST, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianNC AP 00001440NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205884939
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS EAST, PA
Provider Business Mailing Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number : 252-752-6600
Provider Business Practice Location Address
First Line : 2251 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2841
Country : US
Telephone Number : 252-757-3131
Fax Number : 252-757-9600
Authorized Official
Title or Position : CEO
Name : CINDY MCGEE
Credential :
Telephone Number : 252-752-6101
Provider Enumeration Date : 05/05/2006
Last Update Date : 03/24/2023

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Directions to “PHYSICIANS EAST, PA ” Practice Location

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