Scotland Neck Police Department said officers responded to a call for help and found the victim in a car on the way to the hospital.
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The person who shot the man was also in the car with him. Investigators said the shooter, who is a minor, and the victim are related.
Investigators said the shooting happened when a dispute between the two "went terribly wrong."
First responders airlifted the victim to ECU Health Medical Center in Greenville for treatment. His condition is unknown.
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The juvenile shooting suspect was detained and taken into the custody of Juvenile Services.