| Coastal Car | |
|
609 Shipyard Blvd Unit 102 Wilmington NC 28412-6562 | |
| (910) 620-8301 | |
| Not Available |
| Full Name | Coastal Car |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 609 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Taquicia Carr (TEAM LEAD) |
| Authorized Official Contact | 9106208301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Car 1003 St. Andrews Drive Apt. #103 Wilmington NC 28412 Ph: () - | Coastal Car 609 Shipyard Blvd Unit 102 Wilmington NC 28412-6562 Ph: (910) 620-8301 |
| NPI Number | 1396150611 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396150611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P008674 (North Carolina) | Primary |
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