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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, P.A.

NPI Number 1003164922
LBN Legal business name COASTAL NEPHROLOGY, P.A.
Authorized official MILAGROS CAILING - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2012
Last updated 08/27/2012 - About 14 years ago
Identifiers
NC License # 2005-00955
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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