Coastal Family Medicine and Wellness Center,PLLC

Organization Active NPI Family Medicine Physician · Kitty Hawk, NC

NPI 1942587332 · NPPES record last updated Nov 14, 2011

Key facts

NPI
1942587332
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
2008-00943 (NC)
Legal business name
COASTAL FAMILY MEDICINE AND WELLNESS CENTER,PLLC
Practice address
5200 North Croatan Highway
Suite 7
Kitty Hawk, NC 27949
Phone
(252) 715-0607
NPI assigned
Nov 14, 2011
Organization subpart
No

Authorized official

Name
Dr. Christina Michelle Bowen, M.D.
Title
Physician
Phone
(252) 489-3599

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 2008-00943 NC Yes

Addresses

Primary practice location

5200 North Croatan Highway
Suite 7
Kitty Hawk, NC 27949

Mailing address

Post Office Box 228
Kitty Hawk, NC 27949
Phone (252) 715-0607

Other providers in Kitty Hawk, NC

All providers in Kitty Hawk, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.