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COASTAL WOMENS CARE PC NPI 1558628883


NPI Information

NPI: 1558628883
Provider Name: COASTAL WOMENS CARE PC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1721 ALLENS LN
SUITE 102
WILMINGTON, NC
ZIP 28403
Phone: (910) 620-1053
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COASTAL WOMENS CARE PC is a gynecology obstetrics gynecology in Wilmington, NC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee COASTAL WOMENS CARE PC NPI is 1558628883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1721 ALLENS LN
SUITE 102
WILMINGTON, NC
ZIP 28403-661
Phone: (910) 620-1053

The provider's authorized official is Fazil A Mohamed .
The authorized official title is Physician and has the following contact phone number (910) 620-1053.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 4/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology201001263NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121041534OTHERSOUTH CAROLINABCBSOFSC
2H99955MEDICARE UPIN
38906020MEDICAIDNORTH CAROLINA
4266429MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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