NPI: 1578656773
Provider Name: COASTAL VASCULAR INSTITUTE, PA
Former Legal Business Name: COASTAL CAROLINA SURGICAL ASSOCIATES, PA
Classification: Surgery - 2086S0129X
Entity Type: Organization
Specialization: Vascular Surgery
Address:
1411 PHYSICIANS DRIVE
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-0811
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COASTAL VASCULAR INSTITUTE, PA is a vascular surgery surgery in Wilmington, NC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. COASTAL VASCULAR INSTITUTE, PA NPI is 1578656773. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Coastal Carolina Surgical Associates, Pa.
The provider's business location address is:
1411 PHYSICIANS DRIVE
WILMINGTON, NC
ZIP 28401-338
Phone: (910) 343-0811
Fax: (910) 343-5719
The provider's authorized official is Kara Florence Marcussen .
The authorized official title is Ceo and has the following contact phone number (910) 343-0811.
The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/25/2023.