| NPI | 1912127994 |
|---|---|
| Doing Business As | COASTAL IMMEDIATE AND PRIMARY |
| Entity Type | Organization |
| Authorized Contact | JAMES R FORSTNER Owner 910-457-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NC 21467) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-11-14 |