OrganizationActive
Coastal Vascular Institute, PA
NPI 1578656773 · Vascular Surgery Physician · Wilmington, NC
Provider details
- NPI number
- 1578656773
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kara Marcussen, Ceo(910) 343-0811
- License
- CERTIFICATE # 40958 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1411 Physicians Drive
Wilmington, NC 28401-7338
Phone: (910) 343-0811
Fax: (910) 343-5719
Approximate (ZIP-level) locationGet directions
Mailing address
1411 Physicians Drive
Wilmington, NC 28401-7338
Other names (DBA / former)
- Former legal business name
- Coastal Carolina Surgical Associates, PA
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.