| Coastal Pediatric Care, Inc | |
|
212 N 35th St Morehead City NC 28557-3104 | |
| (252) 247-5212 | |
| (252) 247-1034 |
| Full Name | Coastal Pediatric Care, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 212 N 35th St, Morehead City, North Carolina |
| Authorized Official Name and Position | Betty W Wallace (OWNER) |
| Authorized Official Contact | 2522475212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Pediatric Care, Inc 212 N 35th St Morehead City NC 28557-3104 Ph: (252) 247-5212 | Coastal Pediatric Care, Inc 212 N 35th St Morehead City NC 28557-3104 Ph: (252) 247-5212 |
| NPI Number | 1235126830 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235126830 | NPI | - | NPPES |
| 7000101 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (North Carolina) | Primary |
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