COASTAL CHILDRENS SERVICES PLLC NPI 1922356146

NPI Information

  • NPI: 1922356146
  • Provider Name: COASTAL CHILDRENS SERVICES PLLC
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Organization
  • Address: 120 MEMORIAL DR
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 667-6819

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NPI Details

COASTAL CHILDRENS SERVICES PLLC is a pediatric gastroenterology pediatrics in Jacksonville, 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 1922356146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 MEMORIAL DR
JACKSONVILLE, NC
ZIP 28546-328
Phone: (910) 667-6819
Fax: (910) 667-4639

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 8/20/2012 and was last updated on 8/20/2012.

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?

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This page was last updated on: 11/21/2025

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