Organization
COASTAL CAROLINA CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS (CHIEF OPERATING OFFICER)
(910) 685-7307
Entity
Organization
Contact information
Practice address
15441 US HIGHWAY 17 N STE 501, HAMPSTEAD, NC 28443-0016
(910) 512-2520
(910) 900-8002
Mailing address
831 WINE CELLAR CIR, WILMINGTON, NC 28411-9298
(910) 512-2520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/12/2019
Last updated
01/23/2024
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