| NPI | 1811299589 |
|---|---|
| Doing Business As | CAROLINA COAST FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL L. WIENS Senior Vice President Operations 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |