| Extended Care Physicians - Coastal, Pa | |
|
1013 Porters Neck Rd Suite 130 Wilmington NC 28411-8130 | |
| (910) 795-1471 | |
| Not Available |
| Full Name | Extended Care Physicians - Coastal, Pa |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1013 Porters Neck Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Robin Gleeson-warren (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 8282102678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Care Physicians - Coastal, Pa Po Box 890194 Charlotte NC 28289-0194 Ph: () - | Extended Care Physicians - Coastal, Pa 1013 Porters Neck Rd Suite 130 Wilmington NC 28411-8130 Ph: (910) 795-1471 |
| NPI Number | 1114191525 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114191525 | NPI | - | NPPES |
| 5918852 | Medicaid | NC |
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