| Coastal Serenity Psychiatry Pllc | |
|
824 Gum Branch Rd Suite Q Jacksonville NC 28540-6272 | |
| (814) 602-9096 | |
| (910) 346-1054 |
| Full Name | Coastal Serenity Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 824 Gum Branch Rd, Jacksonville, North Carolina |
| Authorized Official Name and Position | Marie Ann Sprague (OWNER) |
| Authorized Official Contact | 8146029096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Serenity Psychiatry Pllc 201 Canaan Ct Jacksonville NC 28546-5280 Ph: (814) 602-9096 | Coastal Serenity Psychiatry Pllc 824 Gum Branch Rd Suite Q Jacksonville NC 28540-6272 Ph: (814) 602-9096 |
| NPI Number | 1942648043 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942648043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2010-00175 (North Carolina) | Primary |
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