| NPI | 1881683415 |
|---|---|
| Doing Business As | COASTAL CARDIOTHORACIC AND VASCULAR ASSOC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM T JOHNSON Vice President 804-237-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2009-04-30 |