Coastal Car | |
609 Shipyard Blvd Unit 102 Wilmington NC 28412-6562 | |
(910) 620-8301 | |
Not Available |
Full Name | Coastal Car |
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Speciality | Community/behavioral Health |
Location | 609 Shipyard Blvd, Wilmington, North Carolina |
Authorized Official Name and Position | Taquicia Carr (TEAM LEAD) |
Authorized Official Contact | 9106208301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Car 1003 St. Andrews Drive Apt. #103 Wilmington NC 28412 Ph: () - | Coastal Car 609 Shipyard Blvd Unit 102 Wilmington NC 28412-6562 Ph: (910) 620-8301 |
NPI Number | 1396150611 |
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Provider Enumeration Date | 06/25/2014 |
Last Update Date | 06/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396150611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | P008674 (North Carolina) | Primary |
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