Coastal Gastroenterology Pllc

LBN: Coastal Gastroenterology Pllc
Coastal Gastroenterology Pllc is an health care organization with primary practice located at 3 Medical Center Drive , Supply NC 28462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Coastal Gastroenterology Pllc can be contacted via phone (910) 754-7790, or through Holt, Frank Loving via phone (910) 754-7790.

Contact Information

Primary practice address
3 Medical Center Drive Supply NC 28462
Phone: (910) 754-7790
Fax: (910) 754-7838
Website:
Map and Directions
Authorized official contact:
Name: Holt, Frank Loving Doctor of Medicine (MD)
Phone: (910) 754-7790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1720014012
LBN Legal business name Coastal Gastroenterology Pllc
DBA Doing business as
Authorized official Holt, Frank Loving Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Aug 28th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720014012 NPPES
North Carolina MEDICAID 891235G
North Carolina Other 1235G

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