Organization
COASTAL GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK LOVING HOLT JR. MD (MD)
(910) 754-7790
Entity
Organization
Contact information
Practice address
3 MEDICAL CENTER DRIVE, SUPPLY, NC 28462
(910) 754-7790
(910) 754-7838
Mailing address
3 MEDICAL CENTER DRIVE, SUPPLY, NC 28462
(910) 754-7790
(910) 754-7838
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235G
BLUE SHIELD
NC
05
—
891235G
—
NC
Enumeration date
06/25/2006
Last updated
08/28/2007
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