| 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 |