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Organization

J. THADDEUS COIN, PHD, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES THADDEUS COIN MD (OWNER)
(910) 762-9131
Entity
Organization

Contact information

Practice address
2515 DELANEY AVE, WILMINGTON, NC 28403-6003
(910) 762-9131
(910) 762-1281
Mailing address
PO BOX 3098, WILMINGTON, NC 28406-0098
(910) 762-9131
(910) 762-1281

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29814
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23534
BCBS
NC
05
7923534
NC
Enumeration date
01/23/2007
Last updated
05/10/2012
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