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EASTERN NEPHROLOGY ASSOCIATES PLLC NPI 1417083783


NPI Information

NPI: 1417083783
Provider Name: EASTERN NEPHROLOGY ASSOCIATES PLLC

Other Name: KENDRICK, NEWMAN, BYRUM AND HOGGARD

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 34D2091677

Address:
511 PALADIN DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-8880
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EASTERN NEPHROLOGY ASSOCIATES PLLC is a nephrology internal medicine in Greenville, NC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. EASTERN NEPHROLOGY ASSOCIATES PLLC NPI is 1417083783. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kendrick, Newman, Byrum And Hoggard.

The provider's business location address is:

511 PALADIN DR
GREENVILLE, NC
ZIP 27834-826
Phone: (252) 752-8880
Fax: (252) 752-3084

The provider's authorized official is Latrondra Adams .
The authorized official title is Credentialing Manager and has the following contact phone number (704) 390-7973.

The CLIA number assigned to this NPI record is 34D2091677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 10/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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