Organization
COASTAL WOMEN'S CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A KIZEN MD (PRESIDENT)
(252) 338-2151
Entity
Organization
Contact information
Practice address
112 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-2151
(252) 338-2505
Mailing address
112 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-2151
(252) 338-2505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904022
—
NC
05
—
7949645
—
NC
05
—
8901411
—
NC
05
—
891063P
—
NC
05
—
8912930
—
NC
05
—
8929605
—
NC
05
—
8979785
—
NC
Enumeration date
03/21/2006
Last updated
04/14/2008
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