Coastal Carolina Family Practice PA
Coastal Carolina Family Practice PA is a Family Medicine Physician in Hertford, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.
- Licensed in
- NC
- In the registry since
- 2005
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
600 S Church StHertford, NC 27944-1205
Phone: (252) 426-5711
Fax: (252) 426-1999
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 40834 (NC) |
|---|
Record details
| NPI number | 1326031485 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Lane — Medical Adm · (252) 426-5711 |
| NPI enumerated | August 24, 2005 |
| Last updated in NPPES | July 9, 2010 |
| Mailing address | Po Box 650, Hertford, NC 27944-0650 |
Other providers in Hertford
-
Robert Earl Lane, MD
600 S Church St, Hertford, NC 27944-1205 · (252) 426-5711