Intracoastal Executive Wellness
Intracoastal Executive Wellness is an Internal Medicine Physician in Southport, North Carolina. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
606 W West St Ste 202Southport, NC 28461-3850
Phone: (910) 286-7420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1013760172 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Hilliard — Member · (910) 286-7420 |
| NPI enumerated | April 9, 2024 |
| Last updated in NPPES | April 9, 2024 |
| Certification date | April 9, 2024 |
| Mailing address | 606 W West St Ste 202, Southport, NC 28461-3850 |
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