Organization · Type 2 NPI

Crystal Coast Ear, Nose & Throat

Specialist · Jacksonville, NC

NPI number 1780893974 Active

Practice location

42 Office Park Dr
Jacksonville, NC 28546-3217

Call (910) 545-4159 Map

Mailing address

PO Box 12125
Jacksonville, NC 28546-2125

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X9600643 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780893974

Crystal Coast Ear, Nose & Throat's National Provider Identifier is 1780893974, issued on May 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville, NC. The record was last updated on Aug 9, 2010.