Organization
COASTAL CAROLINA NEUROPSYCHIATRIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF GB MIKHAIL MD (CEO, OWNER)
(910) 938-1114
Entity
Organization
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200200418
NC
207Q00000X
Family Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/30/2011
Last updated
04/04/2013
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