| Carolina Coast Family Medicine | |
|
5058 Wrightsville Ave Wilmington NC 28403-7048 | |
| (910) 791-5426 | |
| Not Available |
| Full Name | Carolina Coast Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5058 Wrightsville Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Daniel L. Wiens (SENIOR VICE PRESIDENT OPERATIONS) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Coast Family Medicine Po Box 602514 Charlotte NC 28260-2514 Ph: (910) 791-5426 | Carolina Coast Family Medicine 5058 Wrightsville Ave Wilmington NC 28403-7048 Ph: (910) 791-5426 |
| NPI Number | 1811299589 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811299589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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