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Organization

COASTLINE FAMILY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA YOST FNP-C (OWNER)
(910) 548-1589
Entity
Organization

Contact information

Practice address
2145 COUNTRY CLUB RD STE 500, JACKSONVILLE, NC 28546-2404
(910) 353-0565
(910) 353-3940
Mailing address
2145 COUNTRY CLUB RD STE 500, JACKSONVILLE, NC 28546-2404
(910) 353-0565
(910) 353-3940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/09/2021
Last updated
05/03/2023
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