| Coastal Breeze Healthcare | |
|
517 S Norwood St Wallace NC 28466-1619 | |
| (910) 714-8164 | |
| Not Available |
| Full Name | Coastal Breeze Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 517 S Norwood St, Wallace, North Carolina |
| Authorized Official Name and Position | Dwayne D. Furmidge (CEO) |
| Authorized Official Contact | 9106209500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Breeze Healthcare 517 S Norwood St Wallace NC 28466-1619 Ph: () - | Coastal Breeze Healthcare 517 S Norwood St Wallace NC 28466-1619 Ph: (910) 714-8164 |
| NPI Number | 1033543178 |
|---|---|
| Provider Enumeration Date | 08/26/2013 |
| Last Update Date | 08/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033543178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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