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1598807430
COASTAL CAROLINA PSYCHIATRIC SERVICES PLLC
WILSON, NC
NPI
1598807430
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Entity Type
Organization
Authorized Contact
BUSH KAVURU
Member Manager
252-265-9680
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center Adult Mental Health
Enumeration Date
2007-02-13
Last Update Date
2020-08-22
Business Address
COASTAL CAROLINA PSYCHIATRIC SERVICES PLLC
1708 LAKESIDE DR NW
WILSON, NC 27896-1800
Phone number: 252-265-9680
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Mailing Address
COASTAL CAROLINA PSYCHIATRIC SERVICES PLLC
1708 LAKESIDE DR NW
WILSON, NC 27896-1800
Phone number: 252-265-9680
Copy
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