| NPI | 1740056894 |
|---|---|
| Doing Business As | COASTAL REGEN |
| Entity Type | Organization |
| Authorized Contact | LAURA MELSHEIMER Owner/Nurse Practitioner 757-297-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-04-17 |