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Contact Information

COASTAL REHABILITATION ASSOCIATES
2800 ASHTON DR
SUITE 100
WILMINGTON, NC28412-2486
 Phone: 910-794-8892
 Fax: 910-794-8895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for COASTAL REHABILITATION ASSOCIATES

NPI # 1851348981
LBN Legal business name COASTAL REHABILITATION ASSOCIATES
Authorized official STEPHEN WALTERS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2006
Last updated 12/17/2012 - About 13 years ago
Identifiers
NC Medicaid 890191Y
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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