Organization
COASTAL PRIMARY CARE AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA L MABE AGNP-C (CO-MANAGER/OWNER)
(336) 613-4862
Entity
Organization
Contact information
Practice address
7183 BEACH DR SW # 1, OCEAN ISLE BEACH, NC 28469-5634
(910) 795-1700
(910) 661-0683
Mailing address
7183 BEACH DR SW # 1, OCEAN ISLE BEACH, NC 28469-5634
(910) 795-1700
(910) 661-0683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
03/27/2023
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