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Organization
ANTONIO M. CARBONELL MD PA
Active
Organization
ANTONIO M. CARBONELL MD PA
Active
Other names
CRYSTAL COAST PLASTIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO MIGUEL CARBONELL MD (PRESIDENT)
(252) 247-0094
Entity
Organization
Contact information
Practice address
215 N 35TH ST, MOREHEAD CITY, NC 28557-3185
(252) 247-0094
Mailing address
215 N 35TH ST, MOREHEAD CITY, NC 28557-3185
(252) 247-0094
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
27897
NC
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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