Coastal Mds | |
1444 S 17th St Wilmington NC 28401-6436 | |
(910) 793-4311 | |
(910) 793-4322 |
Full Name | Coastal Mds |
---|---|
Speciality | General Practice |
Location | 1444 S 17th St, Wilmington, North Carolina |
Authorized Official Name and Position | Anthony K Njapa (PARTNER) |
Authorized Official Contact | 9107934311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Coastal Mds 1444 S 17th St Wilmington NC 28401-6436 Ph: (910) 793-4311 | Coastal Mds 1444 S 17th St Wilmington NC 28401-6436 Ph: (910) 793-4311 |
NPI Number | 1649463993 |
---|---|
Provider Enumeration Date | 08/21/2007 |
Last Update Date | 01/03/2023 |
Medicare PECOS PAC ID | 3971691130 |
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Medicare Enrollment ID | O20071121000548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649463993 | NPI | - | NPPES |
5907797 | Medicaid | NC | |
1881659019 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2006-00122 (North Carolina) | Primary |
Provider Name | Anthony K Njapa |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1881659019 PECOS PAC ID: 6305941618 Enrollment ID: I20070416000268 |
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