Organization
COASTAL CAROLINA CARE PLLC
Active
Parent organization
COASTAL CAROLINA CARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL CAROLINA CARE PLLC
Authorized official
MICHAEL THOMAS (CFO)
(910) 512-2520
Entity
Organization
Contact information
Practice address
1072 NC HIGHWAY 210, SNEADS FERRY, NC 28460-9137
(910) 685-7307
Mailing address
1072 NC HIGHWAY 210, SNEADS FERRY, NC 28460-9137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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