Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Carolina Anesthesiologist, PA

Organization Anesthesiology Physician · NPI 1720128044

Coastal Carolina Anesthesiologist, PA is an Anesthesiology Physician in Whiteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Jefferson St
Whiteville, NC 28472-3634
Phone: (910) 642-6427
Fax: (910) 642-5769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (NC)

Record details

NPI number1720128044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Dimitrious — President · (910) 642-6427
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 505, Whiteville, NC 28472-0505

Other providers in Whiteville