Organization
COASTAL CHILDRENS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO MOYA MD (PRESIDENT)
(910) 667-2970
Entity
Organization
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 667-5011
(910) 772-9452
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2970
(910) 667-7390
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/21/2011
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