Coastal Carolina Psychiatric Services Pllc
NPI #1598807430 in Wilson, North Carolina
Provider Information
- NPI Number
- 1598807430
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Psychiatric Services Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1708 LAKESIDE DR NW
- City
- Wilson
- State
- North Carolina
- ZIP Code
- 27896-1800
- Phone
- (252) 265-9680
Authorized Official
- Name
- DR. BUSH KAVURU, M.D
- Title
- MEMBER-MANAGER
- Phone
- (252) 265-9680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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