Coastal Carolina Radiology, Pllc

LBN: Coastal Carolina Radiology, Pllc
Coastal Carolina Radiology, Pllc is an health care organization with primary practice located at 1144 N Road St Hwy 17N, Elizabeth City NC 27909-3353. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Coastal Carolina Radiology, Pllc can be contacted via phone (252) 384-4615, or through Beavers, William Jefferson via phone (252) 384-4615.

Contact Information

Primary practice address
1144 N Road St Hwy 17N Elizabeth City NC 27909-3353
Fax: (252) 384-4684
Website:
Authorized official contact:
Name: Beavers, William Jefferson Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1306029004
LBN Legal business name Coastal Carolina Radiology, Pllc
DBA Doing business as
Authorized official Beavers, William Jefferson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated Apr 28th, 2008 - about 18 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 1306029004 NPPES
North Carolina MEDICAID 5908639
North Carolina Other 019YN

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