Organization
COASTAL CAROLINA NEONATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO R MOYA MD (INCORPORATOR)
(910) 772-9202
Entity
Organization
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NC
Other
Enumeration date
03/30/2009
Last updated
10/01/2015
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