DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COASTAL CAROLINA NEONATOLOGY, PLLC

MEDICARE: COASTAL CAROLINA NEONATOLOGY, PLLC
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1649525064
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL CAROLINA NEONATOLOGY, PLLC
Provider Business Mailing Address
First Line : 1915 GLEN MEADE RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6024
Country : US
Telephone Number : 910-772-9202
Fax Number : 910-772-9452
Provider Business Practice Location Address
First Line : 823 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3703
Country : US
Telephone Number : 910-772-9202
Fax Number : 910-772-9452
Authorized Official
Title or Position : PRESIDENT
Name : DR. FERNANDO MOYA
Credential : MD
Telephone Number : 910-772-9202
Provider Enumeration Date : 07/23/2012
Last Update Date : 10/13/2015

Similar Medicare Providers

1255201729 — LAUREN W. SIMMONS APRN, FNP-C
Practice Location Address:
823 JEFFERSON ST
WHITEVILLE, NC
28472-3703
Practice Phone: 910-642-6121
Practice Fax:
1578418497 — MRS. HOLLY MICHELLE CARLYLE-BUTLER LCSWA, MSW, RYT
Practice Location Address:
823 JEFFERSON ST
WHITEVILLE, NC
28472-3703
Practice Phone: 910-508-8904
Practice Fax:
1841536281 — MR. JONATHAN ANDREW TRAYLOR LPC, LCAS, NCC
Practice Location Address:
823 JEFFERSON ST STE 1
WHITEVILLE, NC
28472-3703
Practice Phone: 910-508-8904
Practice Fax: 910-640-0026
1780138479 — JENNIFER DOVE NP
Practice Location Address:
823 JEFFERSON ST
WHITEVILLE, NC
28472-3703
Practice Phone: 910-642-6121
Practice Fax:
1457870453 — ASHLEE G ALLENSWORTH FNP
Practice Location Address:
823 JEFFERSON ST
WHITEVILLE, NC
28472-3703
Practice Phone: 910-642-6121
Practice Fax: 910-642-8457
1558991919 — KIMBERLY GODWIN MCPHERSON FNP
Practice Location Address:
823 JEFFERSON ST
WHITEVILLE, NC
28472-3703
Practice Phone: 910-642-6121
Practice Fax:

Directions to “COASTAL CAROLINA NEONATOLOGY, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.