| NPI | 1538749148 |
|---|---|
| Doing Business As | COASTAL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-07-19 |