# COASTAL HEARING CENTERS, INC

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

## Provider details

- **NPI number:** 1659621985
- **Authorized official:** DR. SUSAN EVANS GORE AU.D. (OWNER)
- **Authorized official phone:** (910) 671-5014

## Contact information

- **Practice address:** 584 FARRINGDOM ST, LUMBERTON, NC 28358-2615
- **Practice address phone:** (910) 671-5014
- **Mailing address:** P.O. BOX 4868, CALABASH, NC 28467
- **Mailing address phone:** (910) 671-5014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 1102 | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 12/13/2012