Organization
COASTAL CAROLINA RESPIRATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA KELLY PICKETT RRT, RCP, AE-C (PRESIDENT OWNER)
(919) 920-8916
Entity
Organization
Contact information
Practice address
106 S. BROWN ROAD, BEULAVILLE, NC 28518-0467
(919) 920-8916
Mailing address
106 S. BROWN ROAD, PO BOX 467, BEULAVILLE, NC 28518-0467
(919) 920-8916
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
A407
NC
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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