Organization
COASTAL REHABILITATION ASSOCIATES
Active
Other names
Coastal Rehabilitation Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN THOMAS WALTERS (ADMINISTRATOR)
(910) 794-8892
Entity
Organization
Contact information
Practice address
2800 ASHTON DR, SUITE 100, WILMINGTON, NC 28412-2486
(910) 794-8892
(910) 794-8895
Mailing address
PO BOX 4217, WILMINGTON, NC 28406-1217
(910) 794-8892
(910) 794-8895
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890191Y
—
NC
Enumeration date
05/27/2006
Last updated
12/17/2012
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