Coastal Carolina Family Practice PA
NPI #1326031485 in Hertford, North Carolina
Provider Information
- NPI Number
- 1326031485
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Family Practice PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Jul 9, 2010
Practice Location
- Address
- 600 S CHURCH ST
- City
- Hertford
- State
- North Carolina
- ZIP Code
- 27944-1205
- Phone
- (252) 426-5711
Authorized Official
- Name
- MRS. CHRIS A LANE
- Title
- MEDICAL ADM
- Phone
- (252) 426-5711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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