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Contact Information

DEBRA A TRISTRAM, MD
2150 HERBERT CT
ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
GREENVILLE, NC27834-3736
 Phone: 252-744-5437
 Fax: 252-744-1514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DEBRA A TRISTRAM · (Female)

NPI Number 1306829015
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2005
Last updated 03/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9801788
  • NC Medicaid 8911649
  • NC Other 11649 BCBS NC
  • NC Other 370015918 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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