Organization
COASTAL ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M GOBROGGE L.AC. (OWNER/ACUPUNCTURIST)
(910) 350-2740
Entity
Organization
Contact information
Practice address
108 N KERR AVE STE D6, WILMINGTON, NC 28405-3439
(910) 350-2740
Mailing address
108 N KERR AVE STE D6, WILMINGTON, NC 28405-3439
(910) 350-2740
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255569109
NPI
NC
Enumeration date
10/25/2017
Last updated
10/25/2017
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