| Organization Name: | EASTERN CAROLINA CARDIOVASCULAR |
| NPI Number: | 1619275252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDSEY L. WHITE (OWNER) |
| Mailing Address: | 5136 N Croatan Hwy Kitty Hawk |
| State: | NC US |
| Postal Code: | 279493988 |
| Phone Number: | 2522556080 |
| Fax Number: | 2522556089 |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |