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Organization

COASTAL EAR NOSE & THROAT ASSOCIATES PLLC

Active
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Organization

COASTAL EAR NOSE & THROAT ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DWIGHT GRADY MD (PRESIDENT)
(252) 638-2515
Entity
Organization

Contact information

Practice address
3110 WELLONS BLVD, NEW BERN, NC 28562-5247
(252) 638-2515
(252) 638-8538
Mailing address
3110 WELLONS BLVD, NEW BERN, NC 28562-5247
(252) 638-2515
(252) 638-8538

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NC

Other

Enumeration date
06/03/2006
Last updated
01/21/2010
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