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EAST CAROLINA NEUROLOGY INC. NPI 1497848048


NPI Information

NPI: 1497848048
Provider Name: EAST CAROLINA NEUROLOGY, INC.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2280 HEMBY LN
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-4848
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EAST CAROLINA NEUROLOGY, INC. is a neurology psychiatry neurology in Greenville, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EAST CAROLINA NEUROLOGY, INC. NPI is 1497848048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2280 HEMBY LN
GREENVILLE, NC
ZIP 27834-773
Phone: (252) 752-4848
Fax: (252) 752-9607

The provider's authorized official is Joseph Thatcher Hodges .
The authorized official title is Administrator and has the following contact phone number (252) 752-4848.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/2/2009.


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
1103G00000XClinical Neuropsychologist2646NORTH CAROLINANo
2103TC0700XPsychologistClinical1188NORTH CAROLINANo
3207ZN0500XPathologyNeuropathologyNo
42084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
52084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
62084S0012XPsychiatry & NeurologySleep MedicineNo
72084V0102XPsychiatry & NeurologyVascular NeurologyNo
82085N0700XRadiologyNeuroradiologyNo
92084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1383MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
26005989OTHERNORTH CAROLINAMEDICAID MENTAL HEALTH
30481930001MEDICARE NSCNORTH CAROLINA
401478OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
58901478MEDICAIDNORTH CAROLINA

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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