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Contact Information

COASTAL CAROLINA PATHOLOGY, PA
2606 IRON GATE DR STE 201
WILMINGTON, NC28412-2494
 Phone: 910-395-4441
 Fax: 910-395-7074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA PATHOLOGY, PA

NPI Number 1487170387
LBN Legal business name COASTAL CAROLINA PATHOLOGY, PA
Authorized official WARREN WHITE - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/22/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
NC Medicaid 7001210
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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