Provider Demographics
NPI:1659564433
Name:DUPLIN GENERAL HOSPITAL INCORPORATED
Entity Type:Organization
Organization Name:DUPLIN GENERAL HOSPITAL INCORPORATED
Other - Org Name:DUPLIN GENERAL HOSPITAL INC ANESTHESIA DEAPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCIAL SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-296-0941
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:KENANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28349-0278
Mailing Address - Country:US
Mailing Address - Phone:910-296-2608
Mailing Address - Fax:910-296-1174
Practice Address - Street 1:401 NORTH MAIN STREET
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:KENANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28349-9989
Practice Address - Country:US
Practice Address - Phone:910-296-2608
Practice Address - Fax:910-296-1174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty