Coastal Vitality, LLC
NPI #1386307478 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1386307478
- Entity Type
- Organization
- Organization Name
- Coastal Vitality, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 16, 2021
- Last Updated
- Oct 16, 2021
Practice Location
- Address
- 7122 MARKET ST STE A-140
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28411-9890
- Phone
- (937) 689-2603
Authorized Official
- Name
- DR. ZACHARY SHAW, DC
- Title
- CHIROPRACTOR
- Phone
- (937) 689-2603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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