Coastal Gastroenterology Pllc | |
3 Medical Center Drive Supply NC 28462 | |
(910) 754-7790 | |
(910) 754-7838 |
Full Name | Coastal Gastroenterology Pllc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 3 Medical Center Drive, Supply, North Carolina |
Authorized Official Name and Position | Frank Loving Holt (MD) |
Authorized Official Contact | 9107547790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coastal Gastroenterology Pllc 3 Medical Center Drive Supply NC 28462 Ph: (910) 754-7790 | Coastal Gastroenterology Pllc 3 Medical Center Drive Supply NC 28462 Ph: (910) 754-7790 |
NPI Number | 1720014012 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 08/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720014012 | NPI | - | NPPES |
891235G | Medicaid | NC | |
1235G | Other | NC | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Holden Beach Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2930 Holden Beach Rd Sw, Supply, NC 28462 Phone: 910-842-5991 Fax: 910-842-5994 | |
Church Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Campus Dr, Suite 203, Supply, NC 28462 Phone: 910-755-7181 Fax: 910-755-7194 | |