Carolina Coast Primary Medicine
NPI #1669401964 in Kenansville, North Carolina
Provider Information
- NPI Number
- 1669401964
- Entity Type
- Organization
- Organization Name
- Carolina Coast Primary Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 1, 2006
- Last Updated
- Nov 1, 2012
Practice Location
- Address
- 275 N NC 24 & 50 HWY
- City
- Kenansville
- State
- North Carolina
- ZIP Code
- 28349-0148
- Phone
- (910) 296-1087
Authorized Official
- Name
- MRS. BERTHA1 TAYLOR- MILLER, FNP
- Title
- MANAGER
- Phone
- (910) 296-1087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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