| Coastline Wellness | |
|
1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 | |
| (910) 834-2240 | |
| Not Available |
| Full Name | Coastline Wellness |
|---|---|
| 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 |
|---|---|
| Coastline Wellness 1003 Olde Waterford Way Ste 1c Leland NC 28451-4168 Ph: (910) 834-2240 | Coastline Wellness 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 | 09/17/2026 |
| Certification Date | 09/17/2026 |
| Medicare PECOS PAC ID | 6709239460 |
|---|---|
| Medicare Enrollment ID | O20240129004186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205601325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Christopher Mark Mckinley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447213855 PECOS PAC ID: 7416968813 Enrollment ID: I20190926000435 |
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