Organization
COASTAL HEARING CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN EVANS GORE AU.D. (OWNER)
(910) 671-5014
Entity
Organization
Contact information
Practice address
584 FARRINGDOM ST, LUMBERTON, NC 28358-2615
(910) 671-5014
Mailing address
P.O. BOX 4868, CALABASH, NC 28467
(910) 671-5014
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
1102
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404235
—
NC
Enumeration date
09/13/2012
Last updated
12/13/2012
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