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

Coastal Gastroenterology PLLC

Organization Gastroenterology Physician · NPI 1720014012

Coastal Gastroenterology PLLC is a Gastroenterology Physician in Supply, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Medical Center Dr
Supply, NC 28462
Phone: (910) 754-7790
Fax: (910) 754-7838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1720014012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Holt — Md · (910) 754-7790
NPI enumeratedJune 25, 2006
Last updated in NPPESAugust 28, 2007
Mailing address3 Medical Center Drive, Supply, NC 28462

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