Organization
COASTAL FOOT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALENTINE T HAMILTON DPM (OWNER)
(910) 938-6000
Entity
Organization
Contact information
Practice address
217 STATION ST, JACKSONVILLE, NC 28546-6304
(910) 938-6000
(910) 938-3618
Mailing address
217 STATION ST, JACKSONVILLE, NC 28546-6304
(910) 938-6000
(910) 938-3618
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08055
BCBS PIN
—
01
—
261QP1100X
MEDICARE NPI TYPE1
—
05
—
8908055
—
NC
Enumeration date
05/23/2008
Last updated
09/16/2014
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