| Coastal Family Practice & Internal Medicine | |
|
2207 Delaney Ave Wilmington NC 28403-6010 | |
| (910) 763-3481 | |
| (910) 763-3485 |
| Full Name | Coastal Family Practice & Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2207 Delaney Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Philip Wayne Bibb (PRESIDENT) |
| Authorized Official Contact | 9107633481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Practice & Internal Medicine 2207 Delaney Ave Wilmington NC 28403-6010 Ph: (910) 763-3481 | Coastal Family Practice & Internal Medicine 2207 Delaney Ave Wilmington NC 28403-6010 Ph: (910) 763-3481 |
| NPI Number | 1427106079 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 04/02/2018 |
| Medicare PECOS PAC ID | 9638166879 |
|---|---|
| Medicare Enrollment ID | O20040428001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427106079 | NPI | - | NPPES |
| 89014HV | Medicaid | NC | |
| 014HV | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | NC101625 (North Carolina) | Primary |
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