Organization · Type 2 NPI
Coastal Carolina Ent Do PA
Otolaryngology/Facial Plastic Surgery Physician · Whiteville, NC
NPI number
1689757007
Active
Practice location
302 Liberty St
Whiteville, NC 28472-3714
Fax (910) 914-0640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 85930 (NC) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1689757007
Coastal Carolina Ent Do PA's National Provider Identifier is 1689757007, issued on Oct 21, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Whiteville, NC. The record was last updated on Jun 17, 2024.