Coastal Breeze Healthcare | |
517 S Norwood St Wallace NC 28466-1619 | |
(910) 714-8164 | |
Not Available |
Full Name | Coastal Breeze Healthcare |
---|---|
Speciality | Community/behavioral Health |
Location | 517 S Norwood St, Wallace, North Carolina |
Authorized Official Name and Position | Dwayne D. Furmidge (CEO) |
Authorized Official Contact | 9106209500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coastal Breeze Healthcare 517 S Norwood St Wallace NC 28466-1619 Ph: () - | Coastal Breeze Healthcare 517 S Norwood St Wallace NC 28466-1619 Ph: (910) 714-8164 |
NPI Number | 1033543178 |
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Provider Enumeration Date | 08/26/2013 |
Last Update Date | 08/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033543178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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