Organization
COASTAL CAROLINA ENT DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY COTRINA PARIS CPC (INSURANCE BILLING MGR)
(910) 914-0540
Entity
Organization
Contact information
Practice address
302 LIBERTY ST, WHITEVILLE, NC 28472-3714
(910) 914-0540
(910) 914-0640
Mailing address
302 LIBERTY ST, WHITEVILLE, NC 28472-3714
(910) 914-0540
(910) 914-0640
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
85930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012KN
—
NC
Enumeration date
10/21/2006
Last updated
06/17/2024
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