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Contact Information

COASTAL CHILDRENS SERVICES PLLC
120 MEMORIAL DR
JACKSONVILLE, NC28546-6328
 Phone: 910-667-6819
 Fax: 910-667-4639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COASTAL CHILDRENS SERVICES PLLC · (Female)

NPI # 1922356146
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2012
Last updated 08/20/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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