| Coastal Horizons Center Inc | |
|
613 Shipyard Blvd Wilmington NC 28412-6492 | |
| (910) 343-0145 | |
| (910) 341-5779 |
| Full Name | Coastal Horizons Center Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 613 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Eric J Luttmer (VP MEDICAL SERVICES) |
| Authorized Official Contact | 9103430145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Horizons Center Inc 615 Shipyard Blvd Wilmington NC 28412-6431 Ph: (910) 343-0145 | Coastal Horizons Center Inc 613 Shipyard Blvd Wilmington NC 28412-6492 Ph: (910) 343-0145 |
| NPI Number | 1598048175 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598048175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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