Coastal Womens Care Pc

LBN: Coastal Womens Care Pc
Coastal Womens Care Pc is an health care organization with primary practice located at 1721 Allens Ln Suite 102, Wilmington NC 28403-3661. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Coastal Womens Care Pc can be contacted via phone (910) 620-1053, or through Mohamed, Fazil A via phone (910) 620-1053.

Contact Information

Primary practice address
1721 Allens Ln Suite 102 Wilmington NC 28403-3661
Phone: (910) 620-1053
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Fazil A Doctor of Medicine (MD)
Phone: (910) 620-1053

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 201001263 North Carolina

Profile Details

NPI number 1558628883
LBN Legal business name Coastal Womens Care Pc
DBA Doing business as
Authorized official Mohamed, Fazil A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2012
Last updated Apr 11th, 2012 - about 14 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 1558628883 NPPES
South Carolina MEDICAID 266429
South Carolina Other 21041534
South Carolina MEDICAID 8906020

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