Organization
COASTAL FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTON ONEAL III PHARMD (MANAGER)
(252) 943-1913
Entity
Organization
Contact information
Practice address
820 W MAIN ST, BELHAVEN, NC 27810-1120
(252) 943-1913
Mailing address
275 PAMLICO ST, BELHAVEN, NC 27810-1417
(252) 943-1913
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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