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Contact Information

COASTAL RADIOLOGY CONSULTANTS, PA
851 DURHAM RD
SUITE A
WAKE FOREST, NC27587
 Phone: 919-562-6570
 Fax: 919-562-6572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

111NR0200X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for COASTAL RADIOLOGY CONSULTANTS PA · (Female)

NPI Number 1740389170
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 2160
  • NC Medicaid 7908817
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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