Organization
COASTAL UROLOGY PLLC
Active
Organization
COASTAL UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR ELIAS ABRAHAM III MD (PRESIDENT)
(910) 254-9995
Entity
Organization
Contact information
Practice address
1099 MEDICAL CENTER DR, STE 101, WILMINGTON, NC 28401-7367
(910) 254-9995
(910) 254-9996
Mailing address
1099 MEDICAL CENTER DR, STE 101, WILMINGTON, NC 28401-7367
(910) 254-9995
(910) 254-9996
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9700005
NC
Other
Enumeration date
06/08/2007
Last updated
01/22/2020
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