Organization
COASTAL CAROLINA RESPIRATORY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE WEITZEL BS, RRT, RCP (PRESIDENT/OWNER)
(724) 996-9409
Entity
Organization
Contact information
Practice address
802 E MAIN ST, BEULAVILLE, NC 28518-8714
(910) 298-6007
(910) 298-6009
Mailing address
802 E MAIN ST, BEULAVILLE, NC 28518-8714
(910) 298-6007
(910) 298-6009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704680
—
NC
Enumeration date
01/19/2007
Last updated
11/17/2025
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