Provider Demographics
NPI:1699767996
Name:LARKIN, ERNEST W III (MD)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:W
Last Name:LARKIN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:252-744-3253
Mailing Address - Fax:252-744-3194
Practice Address - Street 1:600 MOYE BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4300
Practice Address - Country:US
Practice Address - Phone:252-744-2207
Practice Address - Fax:252-744-3616
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC20305207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC51041OtherBCBS NC
NC8951041Medicaid
NC220020374OtherRAILROAD MEDICARE
NC220020374OtherRAILROAD MEDICARE
NC2163417Medicare ID - Type Unspecified