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COASTAL CHILDRENS SERVICES PLLC NPI 1124371646


NPI Information

NPI: 1124371646
Provider Name: COASTAL CHILDRENS SERVICES PLLC

Doing Business As: CCS LUMBERTON

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
400 LIBERTY HILL RD
LUMBERTON, NC
ZIP 28358
Phone: (910) 772-9202
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COASTAL CHILDRENS SERVICES PLLC is a pediatric gastroenterology pediatrics in Lumberton, NC. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. COASTAL CHILDRENS SERVICES PLLC NPI is 1124371646. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ccs Lumberton.

The provider's business location address is:

400 LIBERTY HILL RD
LUMBERTON, NC
ZIP 28358-446
Phone: (910) 772-9202
Fax: (910) 772-9452

The provider's authorized official is Fernando R Moya .
The authorized official title is President and has the following contact phone number (910) 667-5011.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 10/22/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyYes

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: 5/5/2024

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