# COASTAL EAR NOSE & THROAT ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033157615
- **Authorized official:** RICHARD DWIGHT GRADY MD (PRESIDENT)
- **Authorized official phone:** (252) 638-2515

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NC | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 01/21/2010