Organization
COASTAL CAROLINA ORTHOPAEDIC SURGEONS PA
Active
Organization
COASTAL CAROLINA ORTHOPAEDIC SURGEONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL C MCCLURG MD PHD (OWNER)
(910) 353-1437
Entity
Organization
Contact information
Practice address
237 WHITE ST, JACKSONVILLE, NC 28546
(910) 353-1437
(910) 353-5398
Mailing address
237 WHITE ST, JACKSONVILLE, NC 28546
(910) 353-1437
(910) 353-5398
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20030067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014P9
BCBS
NC
05
—
89014P9
—
NC
Enumeration date
07/21/2006
Last updated
10/18/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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