Organization
COASTAL CHILDRENS SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO R. MOYA MD (PRESIDENT)
(910) 667-5011
Entity
Organization
Contact information
Practice address
120 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 667-6819
(910) 667-4639
Mailing address
1915 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 667-5011
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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