Organization
COASTAL HORIZONS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J LUTTMER MS (VP MEDICAL SERVICES)
(910) 343-0145
Entity
Organization
Contact information
Practice address
613 SHIPYARD BLVD, WILMINGTON, NC 28412-6492
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/21/2011
Last updated
08/18/2023
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