Organization
CAROLINA COAST LACTATION, LLC
Active
Other names
Carolina Coast Lactation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA MARIE AVILES-COREY IBCLC (OWNER MANAGER)
(910) 787-3670
Entity
Organization
Contact information
Practice address
720 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5435
(910) 787-3670
(910) 543-3893
Mailing address
807 TUSCARORA TRL, JACKSONVILLE, NC 28546-6402
(910) 787-3670
(910) 543-3893
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
01/21/2023
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