| Organization Name: | EASTERN CAROLINA INTERNAL MEDICINE PA |
| NPI Number: | 1346329117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG A HOLTON (CHIEF OPERATING OFFICER) |
| Mailing Address: | 532 Webb Blvd Havelock |
| State: | NC US |
| Postal Code: | 285322042 |
| Phone Number: | 2524477088 |
| Fax Number: | 2524472752 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | REGISTRATIONNO39206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |