Organization
COASTAL CAROLINA PATHOLOGY, PA
Active
Parent organization
COASTAL CAROLINA PATHOLOGY, PA
Other names
Coastal Carolina Pathology, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL CAROLINA PATHOLOGY, PA
Authorized official
DR. WARREN C WHITE MD (PRESIDENT)
(910) 395-4441
Entity
Organization
Contact information
Practice address
2606 IRON GATE DR STE 201, WILMINGTON, NC 28412-2494
(910) 395-4441
(910) 395-7074
Mailing address
2606 IRON GATE DR STE 201, WILMINGTON, NC 28412-2494
(910) 395-4441
(910) 395-7074
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001210
—
NC
Enumeration date
08/22/2017
Last updated
07/21/2022
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