Coastal Primary Health Specialists Pllc

NPI 1164702551 - Family Medicine - 207Q00000X

NPI Details
NPI 1164702551
Enumeration Date 08/17/2011
Last Updated 12/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PAMMELA S PAMMELA
Position MEMBER
Phone (910) 259-3489
Fax
Practice Location
407 EAST FREMONT STREET
BURGAW NC, 28425-4104, US
Phone (910) 259-3489
Fax
Business Location
PO BOX 1550
BURGAW NC, 28425-1550, US
Phone (910) 259-3489
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Coastal Primary Health Specialists Pllc NPI is 1164702551, taxonomy code is 207Q00000X Coastal Primary Health Specialists Pllc physically located at 407 East Fremont Street, Burgaw NC, 28425-4104. NPI Number 1033115704 has the healthcare provider type.

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1164702551 NPI number is provided on an as is basis without warranty of any kind. 1164702551 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Primary Health Specialists Pllc are for informational purposes only.