Organization · NPI-2

Coastal Arthritis And Rheumatism Associates PA

Internal Medicine, Rheumatology · Jacksonville, NC

NPI number1609818384
StatusActive
Last updated in NPPESJan 20, 2011

Details

NPI
1609818384
Entity type
Organization (NPI-2)
Legal business name
Coastal Arthritis And Rheumatism Associates PA
Organization subpart
No
Enumeration date
Jun 10, 2006
Last updated
Jan 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology31985NCYes

Practice location

1126b Kellum Loop Rd
Jacksonville, NC 28546-3304

Phone 910-577-0177 · Fax 910-577-0183

Mailing address

1126b Kellum Loop Rd
Jacksonville, NC 28546-3304

Phone 910-577-0177 · Fax 910-577-0183

Authorized official

David Donald Fraser
President
9105770177

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