Coastal Horizons Center, Inc.

Organization Active NPI Family Medicine Physician · Wilmington, NC

NPI 1922456052 · NPPES record last updated May 31, 2016

Key facts

NPI
1922456052
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
COASTAL HORIZONS CENTER, INC.
Practice address
1307 Market St
New Hanover High School
Wilmington, NC 28401-4331
Phone
(910) 790-9949
Fax
(910) 763-4990
NPI assigned
May 31, 2016
Organization subpart
No

Authorized official

Name
Joy Grady
Title
Director
Phone
(910) 667-9402

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Coastal Car (54 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1307 Market St
New Hanover High School
Wilmington, NC 28401-4331

Mailing address

1307 Market St
New Hanover High School
Wilmington, NC 28401-4331
Phone (910) 790-9949

Other providers in Wilmington, NC

All providers in Wilmington, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.