| NPI | 1861161044 |
|---|---|
| Doing Business As | COASTAL COMPREHENSIVE CARE PA |
| Entity Type | Organization |
| Authorized Contact | ALECIA ROBERTS Practice Manager 910-663-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |