| NPI | 1497340327 |
|---|---|
| Doing Business As | COASTAL THORACIC SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-07-19 |