Provider First Line Business Practice Location Address:
802 MCCARTHY BLVD
Provider Second Line Business Practice Location Address:
COASTAL EYE CLINIC
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-633-4163
Provider Business Practice Location Address Fax Number:
252-636-1674
Provider Enumeration Date:
11/19/2007