Organization
COASTAL MOBILE MEDICAL DOCTOR, PA
Active
Organization
COASTAL MOBILE MEDICAL DOCTOR, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARENDER DEIVASEKHAMANI ARCOT MD (PRESIDENT AND CEO)
(910) 355-6696
Entity
Organization
Contact information
Practice address
203 STAGECOACH DR, JACKSONVILLE, NC 28546-9617
(910) 355-6696
(910) 355-6696
Mailing address
203 STAGECOACH DR, JACKSONVILLE, NC 28546-9617
(910) 355-6696
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
200100829
NC
Other
Enumeration date
08/07/2008
Last updated
11/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up