Organization
COASTAL CAROLINA CARDIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN L WATERFIELD (ADMINISTRATIVE ASSISTANT)
(252) 758-3211
Entity
Organization
Contact information
Practice address
850 W H SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 758-3211
(252) 758-1811
Mailing address
850 W H SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 758-3211
(252) 758-1811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271Q
BCBS
NC
05
—
890271Q
—
NC
Enumeration date
04/20/2006
Last updated
02/28/2008
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