COASTAL SOUTHEASTERN FAMILY PRACTICE, PLLC is a family nurse practitioner in Pembroke, NC. COASTAL SOUTHEASTERN FAMILY PRACTICE, PLLC NPI is 1699067488. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
205 W 3RD ST
PEMBROKE, NC
ZIP 28372-768
Phone: (910) 521-0099
Fax: (910) 521-0088
The provider's authorized official is Katara S Chavis .
The authorized official title is President and has the following contact phone number (910) 521-0099.
The CLIA number assigned to this NPI record is 34D2031984 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/11/2011 and was last updated on 3/7/2017.