Organization
COASTAL CAROLINA CONCIERGE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN T MANN (PRESIDENT)
(910) 616-7718
Entity
Organization
Contact information
Practice address
3942 MARKET ST, WILMINGTON, NC 28403-1488
(910) 616-7718
Mailing address
1812 TREY CT, WILMINGTON, NC 28403-3718
(109) 616-7718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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