institution
Coastal Carolina Internal Medicine, Pa
Primary Care Clinic/Center in Jacksonville, North Carolina
NPI 1881619740

Coastal Carolina Internal Medicine, Pa is a Primary Care Clinic/Center based in Jacksonville, NC and is specialized in Primary Care. Coastal Carolina Internal Medicine, Pa practices in Jacksonville, NC. The NPI Number for Coastal Carolina Internal Medicine, Pa is 1881619740 and holds a License No. 200200443 (North Carolina).

The current practice location address for Coastal Carolina Internal Medicine, Pa is 2420 Henderson Dr, Jacksonville, NC and can be reached out via phone at 910-937-0008 and via fax at 910-937-0098.

Location: 2420 Henderson Dr, Jacksonville, NC, 28546-5254
institution
Provider Profile Details
NPI Number
1881619740
Provider Name
Coastal Carolina Internal Medicine, Pa
Credential
Provider Entity Type
Organization
Address
2420 Henderson Dr, Jacksonville, NC, 28546-5254
Phone Number
910-937-0008
Fax Number
910-937-0098
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8913181 05 NC
13181 01 NC BCBS OF NC
institution
Provider Business Practice Location Address Details
Address
2420 Henderson Dr
City
State
Zip
28546-5254
Phone Number
910-937-0008
Fax Number
910-937-0098
person
Provider Business Mailing Address Details
Address
2420 Henderson Dr
City
State
Zip
28546-5254
Phone Number
910-937-0008
Fax Number
910-937-0098
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
200200443 (North Carolina)
Definition
Definition to come...
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