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

COASTAL MOBILE MEDICAL DOCTOR, PA

Active Organization

COASTAL MOBILE MEDICAL DOCTOR, PA is a Geriatric Medicine organization located in JACKSONVILLE, North Carolina. NPI 1306092549 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · JACKSONVILLE, NC

Registration Details

NPI Number
1306092549
Provider Type
Organization
NPI Issued
Aug 7, 2008 (18.058500113088 yrs)
Last Updated
Nov 20, 2008
License
200100829 (NC)

Practice Information

Address
203 STAGECOACH DR
JACKSONVILLE, NC, 285469617
Browse NC providers · Browse ZIP 28546
Phone
9103556696
Fax
9103556696
Primary Specialty
Geriatric Medicine
207QG0300X
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.