Coastal Carolina Internal Medicine, PA
Coastal Carolina Internal Medicine, PA is a Primary Care Clinic/Center in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2420 Henderson DrJacksonville, NC 28546-5254
Phone: (910) 937-0008
Fax: (910) 937-0098
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 200200443 (NC) |
|---|
Record details
| NPI number | 1881619740 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mitzi Ros — Office Manager · (910) 937-0008 |
| NPI enumerated | July 13, 2006 |
| Last updated in NPPES | October 30, 2019 |
| Mailing address | 2420 Henderson Dr, Jacksonville, NC 28546-5254 |
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