Organization · NPI-2

Coastal Neurology PLLC

Psychiatry & Neurology, Neuromuscular Medicine · Wilmington, NC

NPI number1427227701
StatusActive
Last updated in NPPESMar 21, 2015

Details

NPI
1427227701
Entity type
Organization (NPI-2)
Legal business name
Coastal Neurology PLLC
Organization subpart
No
Enumeration date
Feb 21, 2008
Last updated
Mar 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0008X Psychiatry & Neurology, Neuromuscular Medicine34183NCYes

Practice location

1514 Doctors Cir
Wilmington, NC 28401-7404

Phone 910-254-9914 · Fax 910-254-9953

Mailing address

Po Box 3518
Wilmington, NC 28406-0518

Phone 910-254-9914 · Fax 910-254-9953

Authorized official

Sandra Susan Torres
Owner
9102549914

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