Organization
AZALEA COAST THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE SMITH ARTHURS CCC-SLP (SPEECH PATHOLOGIST)
(910) 794-4555
Entity
Organization
Contact information
Practice address
313 WALNUT ST, SUITE 18, WILMINGTON, NC 28401-4067
(910) 794-4555
(910) 794-9966
Mailing address
313 WALNUT ST, SUITE 18, WILMINGTON, NC 28401-4067
(910) 794-4555
(910) 794-9966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011TP
BCBS
NC
05
—
7210807
—
NC
Enumeration date
08/10/2006
Last updated
08/22/2020
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