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Contact Information

EASTERN HEADACHE AND SPINE, PA
498 A RED BANKS ROAD
GREENVILLE, NC27858
 Phone: 252-215-3067
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuroradiology

2085N0700X
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for EASTERN HEADACHE AND SPINE, PA

NPI # 1952531642
LBN Legal business name EASTERN HEADACHE AND SPINE, PA
Authorized official JAMES COOPER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2009
Last updated 03/11/2010 - About 16 years ago
Identifiers
NC License # 200400320
NC Medicaid 891363X
Other 1363X BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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