Organization
COASTAL CHILDRENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HOUCK (PRACTICE ADMINISTRATOR)
(252) 633-2900
Entity
Organization
Contact information
Practice address
218 STONE BRIDGE SQUARE, HAVELOCK, NC 28532
(252) 633-2900
Mailing address
218 STONEBRIDGE SQ, HAVELOCK, NC 28532-9505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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