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Contact Information

COASTAL CAROLINA ORTHOPAEDIC SURGEONS PA
237 WHITE ST
JACKSONVILLE, NC28546
 Phone: 910-353-1437
 Fax: 910-353-5398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA ORTHOPAEDIC SURGEONS PA

NPI # 1033139886
LBN Legal business name COASTAL CAROLINA ORTHOPAEDIC SURGEONS PA
Authorized official JOEL MCCLURG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2006
Last updated 10/18/2007 - About 19 years ago
Identifiers
NC License # 20030067
NC Medicaid 89014P9
NC Other 014P9 BCBS
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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