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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTRACOASTAL EXECUTIVE WELLNESS

Active Organization

INTRACOASTAL EXECUTIVE WELLNESS is a Internal Medicine organization located in SOUTHPORT, North Carolina. NPI 1013760172 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SOUTHPORT, NC

Registration Details

NPI Number
1013760172
Provider Type
Organization
NPI Issued
Apr 9, 2024 (2.16758322138 yrs)
Last Updated
Apr 9, 2024

Practice Information

Address
606 W WEST ST STE 202
SOUTHPORT, NC, 284613850
Browse NC providers · Browse ZIP 28461
Phone
9102867420
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.