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Organization

CRYSTAL COAST EAR, NOSE & THROAT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANCIS J MILEWSKI M.D. (OWNER)
(910) 545-4159
Entity
Organization

Contact information

Practice address
42 OFFICE PARK DR, JACKSONVILLE, NC 28546-3217
(910) 545-4159
Mailing address
PO BOX 12125, JACKSONVILLE, NC 28546-2125
(910) 545-4159

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9600643
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890200V
NC
05
8959181
NC
Enumeration date
05/22/2007
Last updated
08/09/2010
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