Organization · Type 2 NPI

Novant Health Medical Group Coastal Region, LLC

Pediatric Surgery Physician · Wilmington, NC

NPI number 1710647698 Active

Practice location

2131 S 17th St
Wilmington, NC 28401-7407

Call (910) 667-5830 Map

Fax (910) 662-8909

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1710647698

Novant Health Medical Group Coastal Region, LLC's National Provider Identifier is 1710647698, issued on Dec 20, 2021. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Wilmington, NC. The record was last updated on Dec 20, 2021.