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Contact Information

COASTAL NEPHROLOGY, P.A.
123 POMPANO PL
STE 300
JACKSONVILLE, NC28546
 Phone: 910-238-2181
 Fax: 910-238-2185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COASTAL NEPHROLOGY PA · (Female)

NPI # 1003164922
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2012
Last updated 08/27/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 2005-00955
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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