COASTAL CAROLINA INTERNAL MEDICINE, PA is a primary care clinic center in Jacksonville, NC. COASTAL CAROLINA INTERNAL MEDICINE, PA NPI is 1881619740. The provider is registered as an organization entity type.
The provider's business location address is:
2420 HENDERSON DR
JACKSONVILLE, NC
ZIP 28546-254
Phone: (910) 937-0008
Fax: (910) 937-0098
The provider's authorized official is Mitzi M Ros .
The authorized official title is Office Manager and has the following contact phone number (910) 937-0008.
The CLIA number assigned to this NPI record is 34D1002872 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/13/2006 and was last updated on 10/30/2019.