Coastline Wellness | |
1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 | |
(910) 834-2240 | |
Not Available |
Full Name | Coastline Wellness |
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Speciality | Psychiatry & Neurology |
Location | 1003 Olde Waterford Way Ste 1c, Leland, North Carolina |
Authorized Official Name and Position | Christopher Mckinley (PRESIDENT) |
Authorized Official Contact | 9108342240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Coastline Wellness 1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 Ph: (910) 834-2240 | Coastline Wellness 1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 Ph: (910) 834-2240 |
NPI Number | 1205601325 |
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Provider Enumeration Date | 11/20/2023 |
Last Update Date | 06/03/2024 |
Certification Date | 06/03/2024 |
Medicare PECOS PAC ID | 6709239460 |
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Medicare Enrollment ID | O20240129004186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205601325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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