Organization
COASTAL OB GYN AND INFERTILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESSA JAMES NOWITZKY MD (OWNER)
(361) 851-5000
Entity
Organization
Contact information
Practice address
114A MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(361) 851-5000
Mailing address
7121 SPID, SUITE 302, CORPUS CHRISTI, TX 78412
(361) 851-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36540
NC
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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