Organization
COASTAL NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA SUSAN TORRES MD (OWNER)
(910) 254-9914
Entity
Organization
Contact information
Practice address
1514 DOCTORS CIR, WILMINGTON, NC 28401-7404
(910) 254-9914
(910) 254-9953
Mailing address
PO BOX 3518, WILMINGTON, NC 28406-0518
(910) 254-9914
(910) 254-9953
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
34183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909197
—
NC
Enumeration date
02/21/2008
Last updated
03/21/2015
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