Organization
COASTAL CAPE FEAR EYE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA S. ANDERSON (OFFICE MANAGER)
(910) 762-0057
Entity
Organization
Contact information
Practice address
1915 TRADD CT, WILMINGTON, NC 28401-6638
(910) 762-0057
(910) 762-0336
Mailing address
1915 TRADD CT, WILMINGTON, NC 28401-6638
(910) 762-0057
(910) 762-0336
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948218
—
NC
Enumeration date
04/05/2006
Last updated
08/22/2020
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