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Organization
COASTAL COMPREHENSIVE CARE PA
Active
Organization
COASTAL COMPREHENSIVE CARE PA
Active
Parent organization
COASTAL COMPREHENSIVE CARE PA
Other names
Coastal Comprehensive Care PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL COMPREHENSIVE CARE PA
Authorized official
ALECIA ROBERTS (PRACTICE MANAGER)
(910) 663-2273
Entity
Organization
Contact information
Practice address
805 S MADISON ST, WHITEVILLE, NC 28472-4613
(910) 663-2273
(910) 663-4050
Mailing address
710 SUNSET BLVD N STE A, SUNSET BEACH, NC 28468-4340
(910) 663-2273
(910) 663-4050
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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