Physicians East, PA
Organization Active NPI Family Medicine Physician · Grifton, NC
NPI 1093772600 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1093772600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- NC AP 0000 1014 (NC)
- Legal business name
- PHYSICIANS EAST, PA
- Practice address
- 416 McCrae Street
Grifton, NC 28530 - Phone
- (252) 524-5463
- Fax
- (252) 524-0681
- NPI assigned
- Apr 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PHYSICIANS EAST, PA
Authorized official
- Name
- Mrs. Cindy McGee
- Title
- Coo
- Phone
- (252) 752-6101
Corporate family (same tax ID) 12
Practitioners 2
-
Richard Mann, MD
National Provider Directory
- Tax ID family
- Physicians East PA
- Part of
- Physicians East PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | NC AP 0000 1014 | NC | Yes |
Addresses
Primary practice location
416 McCrae Street
Grifton, NC 28530
Mailing address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890293U | Medicaid | NC |
Other providers in Grifton, NC
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- L&C Family Care Home
- Daniqua Leary
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- Pitt County Group Home Board for Mentally Retarded, Autistic Persons,
- Pitt County Group Home Board for Mentally Retarded, Autistic Persons,
- Pitt County Group Home Board for Mentally Retarded, Autistic Persons,
- Barbara Pollard
- Emily J Porterfield
All providers in Grifton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.