| Carolina Coast Family Medicine | |
|
5058 Wrightsville Ave Wilmington NC 28403-7048 | |
| (910) 791-5426 | |
| (910) 799-2433 |
| Full Name | Carolina Coast Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5058 Wrightsville Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
| Authorized Official Contact | 7043849094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Coast Family Medicine Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Carolina Coast Family Medicine 5058 Wrightsville Ave Wilmington NC 28403-7048 Ph: (910) 791-5426 |
| NPI Number | 1285896670 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285896670 | NPI | - | NPPES |
| 5950524 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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