Organization
COASTAL FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL B MILLER MD (PRESIDENT)
(757) 563-2800
Entity
Organization
Contact information
Practice address
2109 MCCOMAS WAY, SUITE 102, VIRGINIA BEACH, VA 23456-3909
(757) 563-2800
Mailing address
2109 MCCOMAS WAY, SUITE 102, VIRGINIA BEACH, VA 23456-3909
(757) 563-2800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101032190
VA
Other
Enumeration date
12/05/2006
Last updated
01/30/2009
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