Organization
COASTAL CAROLINA NEONATOLOGY, PLLC
Active
Other names
CCN-Whiteville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO MOYA MD (PRESIDENT)
(910) 772-9202
Entity
Organization
Contact information
Practice address
823 JEFFERSON ST, WHITEVILLE, NC 28472-3703
(910) 772-9202
(910) 772-9452
Mailing address
1915 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 772-9202
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
10/13/2015
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