| Coastal Carolina Neuropsychiatric Center, Pa | |
|
200 Tarpon Trl Jacksonville NC 28546-5287 | |
| (910) 938-1114 | |
| (910) 938-1118 |
| Full Name | Coastal Carolina Neuropsychiatric Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Tarpon Trl, Jacksonville, North Carolina |
| Authorized Official Name and Position | Ashraf Gb Mikhail (CEO, OWNER) |
| Authorized Official Contact | 9109381114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Neuropsychiatric Center, Pa 200 Tarpon Trl Jacksonville NC 28546-5287 Ph: (910) 938-1114 | Coastal Carolina Neuropsychiatric Center, Pa 200 Tarpon Trl Jacksonville NC 28546-5287 Ph: (910) 938-1114 |
| NPI Number | 1770872871 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770872871 | NPI | - | NPPES |
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