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Organization
COASTAL PAIN MEDICINE, LLC
Active
Organization
COASTAL PAIN MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER THOMAS GRUBB M.D. (MANAGER, DIRECT OWNER)
(888) 418-0333
Entity
Organization
Contact information
Practice address
2905 GROVELAND DR, GREENVILLE, NC 27858-7188
(888) 418-0333
Mailing address
PO BOX 30692, GREENVILLE, NC 27833-0692
(888) 418-0333
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NC
Other
Enumeration date
10/09/2007
Last updated
01/16/2008
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