Organization
OBSTETRIX MEDICAL GROUP OF COASTAL CAROLINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD M. POOLE (AUTHORIZED SIGNATOR)
(800) 243-3839
Entity
Organization
Contact information
Practice address
2212 DELANEY AVE, WILMINGTON, NC 28403-6011
(910) 332-3660
Mailing address
4991 LAKE BROOK DR, SUITE 300, GLEN ALLEN, VA 23060-9290
(888) 627-4702
(804) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/09/2010
Last updated
12/15/2010
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