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Organization

COASTAL ALBEMARLE ORTHOPEDICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANCIS MICHAEL MCCARTHY MD (PRESIDENT)
(252) 482-5011
Entity
Organization

Contact information

Practice address
701 LUKE ST, EDENTON, NC 27932-9643
(252) 482-5011
(252) 482-0390
Mailing address
701 LUKE ST, EDENTON, NC 27932-9643
(252) 482-5011
(252) 482-0390

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
65914
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0187V
BLUE CROSS BLUE SHIELD
NC
05
890187V
NC
Enumeration date
04/10/2006
Last updated
06/23/2011
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