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Coastal Carolina Heart Llc
Medical Specialty Clinic/Center in Wilmington, North Carolina
NPI 1245402064

Coastal Carolina Heart Llc is a Medical Specialty Clinic/Center based in Charlotte, NC and is specialized in Medical Specialty. Coastal Carolina Heart Llc practices in Wilmington, NC. The NPI Number for Coastal Carolina Heart Llc is 1245402064 and holds a License No. (North Carolina).

The current practice location address for Coastal Carolina Heart Llc is 1604 Physicians Dr, Wilmington, NC and can be reached out via phone at 910-762-2292 and via fax at 910-762-2208.

Location: 1604 Physicians Dr, Wilmington, NC, 28277-8141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245402064
Provider Name
Coastal Carolina Heart Llc
Credential
Provider Entity Type
Organization
Address
1604 Physicians Dr, Wilmington, NC, 28277-8141
Phone Number
910-762-2292
Fax Number
910-762-2208
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016N9 01 NC BLUE CROSS BLUE SHIELD NC
institution
Provider Business Practice Location Address Details
Address
1604 Physicians Dr
City
Wilmington
State
North Carolina
Zip
28401-7362
Phone Number
910-762-2292
Fax Number
910-762-2208
person
Provider Business Mailing Address Details
Address
1604 Physicians Dr
City
Wilmington
State
North Carolina
Zip
28401-7362
Phone Number
910-762-2292
Fax Number
910-762-2208
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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