Organization
CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN JONES (MGR)
(252) 636-0300
Entity
Organization
Contact information
Practice address
5053 EXECUTIVE DR STE B, MOREHEAD CITY, NC 28557
(252) 726-8480
Mailing address
2111 NEUSE BLVD STE J, NEW BERN, NC 28560-4318
(125) 263-6030
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
07/25/2018
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