Coastal Family Practice PC
NPI #1295893097 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1295893097
- Entity Type
- Organization
- Organization Name
- Coastal Family Practice PC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Jan 30, 2009
Practice Location
- Address
- 2109 MCCOMAS WAY
- Address 2
- SUITE 102
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23456-3909
- Phone
- (757) 563-2800
Authorized Official
- Name
- DR. MITCHELL B MILLER, MD
- Title
- PRESIDENT
- Phone
- (757) 563-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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