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Organization

COASTAL PLAINS PATHOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN COULTER MD (PRESIDENT)
(252) 399-8703
Entity
Organization

Contact information

Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8703
Mailing address
3705 EAGLE FARM DR N, WILSON, NC 27896-1277

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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