| Intracoastal Medical Solutions Pllc | |
|
1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 | |
| (910) 834-2240 | |
| Not Available |
| Full Name | Intracoastal Medical Solutions Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1003 Olde Waterford Way Ste 1c, Leland, North Carolina |
| Authorized Official Name and Position | Christopher Mckinley (PRESIDENT) |
| Authorized Official Contact | 9108342240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intracoastal Medical Solutions Pllc 1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 Ph: (910) 834-2240 | Intracoastal Medical Solutions Pllc 1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 Ph: (910) 834-2240 |
| NPI Number | 1205601325 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 6709239460 |
|---|---|
| Medicare Enrollment ID | O20240129004186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205601325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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