Individual
DR. DANIEL WALKER COUGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 763-5522
(910) 763-0413
Mailing address
1016 CRANFORD DR, WILMINGTON, NC 28411-1500
(910) 616-3219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
06/13/2024
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