Organization · Type 2 NPI
Coastal Carolina Internal Medicine, PA
Primary Care Clinic/Center · Jacksonville, NC
NPI number
1881619740
Active
Practice location
2420 Henderson Dr
Jacksonville, NC 28546-5254
Fax (910) 937-0098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 200200443 (NC) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Jacksonville
About NPI 1881619740
Coastal Carolina Internal Medicine, PA's National Provider Identifier is 1881619740, issued on Jul 13, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jacksonville, NC. The record was last updated on Oct 30, 2019.