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
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