Organization
COASTAL ARTHRITIS AND RHEUMATISM ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DONALD FRASER MD (PRESIDENT)
(910) 577-0177
Entity
Organization
Contact information
Practice address
1126B KELLUM LOOP RD, JACKSONVILLE, NC 28546-3304
(910) 577-0177
(910) 577-0183
Mailing address
1126B KELLUM LOOP RD, JACKSONVILLE, NC 28546-3304
(910) 577-0177
(910) 577-0183
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
31985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8933694
—
NC
Enumeration date
06/10/2006
Last updated
01/20/2011
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