Coastal Pediatric Care, INC
Clinic/Center in Morehead City, NC. Organization (NPI-2).
NPI number1235126830
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1235126830
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Pediatric Care, INC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 016005739 | NC | Yes |
Practice location
212 N 35th StMorehead City, NC 28557-3104
Phone 252-247-5212 · Fax 252-247-1034
Mailing address
212 N 35th StMorehead City, NC 28557-3104
Phone 252-247-5212 · Fax 252-247-1034
Authorized official
Betty W Wallace
Owner
2522475212
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