# CAROLINAS COASTAL HEALTH, PC

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

## Provider details

- **NPI number:** 1518102193
- **Authorized official:** DR. JAMES WELLINGTON ADAMS MD (PRESIDENT)
- **Authorized official phone:** (910) 352-2396

## Contact information

- **Practice address:** 1003 OLDE WATERFORD WAY, SUITE 1-C, LELAND, NC 28451-4167
- **Practice address phone:** (910) 338-0588
- **Mailing address:** 1003 OLDE WATERFORD WAY, SUITE 1-C, LELAND, NC 28451-4167
- **Mailing address phone:** (910) 338-0588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 101843 | NC | Yes |

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 09/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1322H | BLUE CROSS BLUE SHIELD | NC |
| 01 | — | 2263829E | MEDICARE | NC |