COASTAL CAROLINA INTERNAL MEDICINE, PA
Organization (NPI-2)
Active
Clinic/Center, Primary Care
Provider Information
- NPI Number
1881619740- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2420 HENDERSON DR, JACKSONVILLE, NC, 285465254
- Phone
- (910) 937-0008
- Fax
- (910) 937-0098
Specialties & Taxonomies
Clinic/Center, Primary Care
Primary License: NC #200200443