Organization
ANTONIO M. CARBONELL MD PA
Active
Other names
CRYSTAL COAST PLASTIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO MIGUEL CARBONELL MD (PRESIDENT)
(252) 247-0094
Entity
Organization
Contact information
Practice address
215 N 35TH ST, MOREHEAD CITY, NC 28557-3185
(252) 247-0094
Mailing address
215 N 35TH ST, MOREHEAD CITY, NC 28557-3185
(252) 247-0094
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
27897
NC
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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