Organization
CAROLINAS COASTAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WELLINGTON ADAMS MD (PRESIDENT)
(910) 352-2396
Entity
Organization
Contact information
Practice address
1003 OLDE WATERFORD WAY, SUITE 1-C, LELAND, NC 28451-4167
(910) 338-0588
Mailing address
1003 OLDE WATERFORD WAY, SUITE 1-C, LELAND, NC 28451-4167
(910) 338-0588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1322H
BLUE CROSS BLUE SHIELD
NC
01
—
2263829E
MEDICARE
NC
Enumeration date
12/10/2008
Last updated
09/08/2011
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