| NPI | 1386602258 |
|---|---|
| Doing Business As | COASTAL CAROLINA FOOT & ANKLE CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES HAGAN Podiatrist 252-633-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 137) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-11-03 |