Organization
COASTAL SERENITY PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE ANN SPRAGUE D.O. (OWNER)
(814) 602-9096
Entity
Organization
Contact information
Practice address
824 GUM BRANCH RD, SUITE Q, JACKSONVILLE, NC 28540-6272
(814) 602-9096
(910) 346-1054
Mailing address
201 CANAAN CT, JACKSONVILLE, NC 28546-5280
(814) 602-9096
(910) 346-1054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010-00175
NC
Other
Enumeration date
06/11/2013
Last updated
08/29/2016
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