MEDICARE: COASTAL HEALING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2082	NC

General Provider Information

NPI Number	:	1255508198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL HEALING

Provider Business Mailing Address
First Line	:	115 WYNDHAM WAY
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-6710
Country	:	US
Telephone Number	:	910-790-5315
Fax Number	:	910-790-5316

Provider Business Practice Location Address
First Line	:	11243A US HIGHWAY 17
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-6867
Country	:	US
Telephone Number	:	912-520-7365
Fax Number	:	910-520-7364

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. CHRISTINA BARAN GRAY
Credential	:	DC
Telephone Number	:	910-520-7365

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/14/2026

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Directions to “COASTAL HEALING ” Practice Location

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