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Organization
COASTAL REHABILITATION ASSOCIATES
Active
Organization
COASTAL REHABILITATION ASSOCIATES
Active
Other names
Coastal Rehabilitation Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN THOMAS WALTERS (ADMINISTRATOR)
(910) 794-8892
Entity
Organization
Contact information
Practice address
2800 ASHTON DR, SUITE 100, WILMINGTON, NC 28412-2486
(910) 794-8892
(910) 794-8895
Mailing address
PO BOX 4217, WILMINGTON, NC 28406-1217
(910) 794-8892
(910) 794-8895
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
12/17/2012
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