Organization
COASTAL CAROLINA RADIATION ONCOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DAVID MAGUIRE MD (PRESIDENT)
(910) 662-8440
Entity
Organization
Contact information
Practice address
1988 S 16TH ST, WILMINGTON, NC 28401-6647
(910) 662-8440
(910) 795-4826
Mailing address
PO BOX 4574, WILMINGTON, NC 28406-1574
(910) 251-1839
(910) 251-8286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103J
BCBS
—
05
—
5912071
—
NC
05
—
5921285
—
NC
05
—
890103J
—
NC
Enumeration date
07/14/2006
Last updated
12/03/2024
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