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Coastal Carolina Ent Do Pa
Otolaryngology/Facial Plastic Surgery Physician in Whiteville, North Carolina
NPI 1689757007

Coastal Carolina Ent Do Pa is a Otolaryngology/Facial Plastic Surgery Physician based in Whiteville, NC and is specialized in Otolaryngology/Facial Plastic Surgery. Coastal Carolina Ent Do Pa practices in Whiteville, NC. The NPI Number for Coastal Carolina Ent Do Pa is 1689757007 and holds a License No. 85930 (North Carolina).

The current practice location address for Coastal Carolina Ent Do Pa is 302 Liberty St, Whiteville, NC and can be reached out via phone at 910-914-0540 and via fax at 910-914-0640.

Location: 302 Liberty St, Whiteville, NC, 28472-3714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689757007
Provider Name
Coastal Carolina Ent Do Pa
Credential
Provider Entity Type
Organization
Address
302 Liberty St, Whiteville, NC, 28472-3714
Phone Number
910-914-0540
Fax Number
910-914-0640
Provider Enumeration Date
10/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89012KN 05 NC
institution
Provider Business Practice Location Address Details
Address
302 Liberty St
City
Whiteville
State
North Carolina
Zip
28472-3714
Phone Number
910-914-0540
Fax Number
910-914-0640
person
Provider Business Mailing Address Details
Address
302 Liberty St
City
Whiteville
State
North Carolina
Zip
28472-3714
Phone Number
910-914-0540
Fax Number
910-914-0640
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
85930 (North Carolina)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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