| Coastal Wellness Infusion Clinic Pllc | |
|
503 Bowman Gray Dr Ste A Greenville NC 27834-7286 | |
| (252) 830-2728 | |
| (252) 752-8288 |
| Full Name | Coastal Wellness Infusion Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 503 Bowman Gray Dr Ste A, Greenville, North Carolina |
| Authorized Official Name and Position | Richard L Rumley (OWNER) |
| Authorized Official Contact | 2528302728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Wellness Infusion Clinic Pllc 503 Bowman Gray Dr Ste A Greenville NC 27834-7286 Ph: (252) 830-2728 | Coastal Wellness Infusion Clinic Pllc 503 Bowman Gray Dr Ste A Greenville NC 27834-7286 Ph: (252) 830-2728 |
| NPI Number | 1326120759 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 03/06/2015 |
| Medicare PECOS PAC ID | 9739141821 |
|---|---|
| Medicare Enrollment ID | O20041101000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326120759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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