Coastal Carolina Heart Llc in Wilmington - Medical Specialty

Coastal Carolina Heart Llc - NPI 1245402064

Coastal Carolina Heart Llc is a Medical Specialty in Wilmington, North Carolina. Coastal Carolina Heart Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Coastal Carolina Heart Llc is 1245402064. The last update date is 2009-04-08.

Coastal Carolina Heart Llc's current location address is 1604 Physicians Dr, Wilmington, North Carolina. You can contact this provider via phone number 9107622292 and fax number 9107622208. The mailing address for Coastal Carolina Heart Llc is 1604 Physicians Dr, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Carolina Heart Llc
Address 1604 Physicians Dr, Wilmington, North Carolina
Phone Number 9107622292
Fax Number 9107622208
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Guidry Gary
Telephone Number 7047086610

NPI Number Detail

NPI Number 1245402064
Provider Enumeration Date 2008-04-01
Last Updated Date 2009-04-08

Provider Mailing Address Detail

Address 1604 Physicians Dr
City Wilmington
State North Carolina (NC)
Post Code 284017362
Phone Number 9107622292
Fax Number 9107622208

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
016N9 NC BLUE CROSS BLUE SHIELD NC

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FAQs about Coastal Carolina Heart Llc

What is the Coastal Carolina Heart Llc's 1245402064?

The Coastal Carolina Heart Llc's NPI (National Provider Identifier) Number is 1245402064. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Coastal Carolina Heart Llc is physically located?

The Coastal Carolina Heart Llc is situated at the following address: 1604 Physicians Dr, Wilmington, NC 284017362.

What is Coastal Carolina Heart Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Coastal Carolina Heart Llc is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.

When did Coastal Carolina Heart Llc receive its 1245402064 assignment?

The Coastal Carolina Heart Llc was assigned its 1245402064 on 2008-04-01, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Coastal Carolina Heart Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Coastal Carolina Heart Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-08.

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