NPI | 1407045149 |
---|---|
Doing Business As | COASTAL GI |
Entity Type | Organization |
Authorized Contact | SUSAN S GERARD Physician Practice Administrator 252-975-4203 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2007-10-18 |
Last Update Date | 2011-01-19 |