Coastal Childrens Services Pllc

NPI 1124371646 - Pediatrics - 2080P0206X

NPI Details
NPI 1124371646
Enumeration Date 10/22/2012
Last Updated 10/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name FERNANDO R FERNANDO
Position PRESIDENT
Phone (910) 772-9202
Fax (910) 772-9452
Practice Location
400 LIBERTY HILL RD
LUMBERTON NC, 28358-2446, US
Phone (910) 772-9202
Fax (910) 772-9452
Business Location
1915 GLEN MEADE RD
WILMINGTON NC, 28403-6024, US
Phone (910) 772-9202
Fax (910) 772-9452
Toxanomy
Taxonomy Code 2080P0206X
License State
License Number
Remove 1124371646 NPI Number
 

According to our database, Coastal Childrens Services Pllc NPI is 1124371646, taxonomy code is 2080P0206X Coastal Childrens Services Pllc physically located at 400 Liberty Hill Rd, Lumberton NC, 28358-2446. NPI Number 1033115704 has the healthcare provider type.

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1124371646 NPI number is provided on an as is basis without warranty of any kind. 1124371646 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Childrens Services Pllc are for informational purposes only.