Organization
COASTAL FAMILY PRACTICE & INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WAYNE BIBB (PRESIDENT)
(910) 763-3481
Entity
Organization
Contact information
Practice address
2207 DELANEY AVE, WILMINGTON, NC 28403-6010
(910) 763-3481
(910) 763-3485
Mailing address
2207 DELANEY AVE, WILMINGTON, NC 28403-6010
(910) 763-3481
(910) 763-3485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NC101625
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014HV
BCBS
NC
05
—
89014HV
—
NC
Enumeration date
01/08/2007
Last updated
09/25/2025
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