| NPI | 1649322199 |
|---|---|
| Doing Business As | COASTAL CAROLINA SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRADFORD WHEATLEY Partner 252-633-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |