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Organization

COASTAL CHILDRENS SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERNANDO MOYA MD (PRESIDNET)
(910) 667-5011
Entity
Organization

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9402
(910) 772-9452
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9402
(910) 772-9452

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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