OrganizationActive
Coastal Childrens Services PLLC
NPI 1922356146 · Pediatric Gastroenterology Physician · Jacksonville, NC
Provider details
- NPI number
- 1922356146
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fernando Moya, President(910) 667-5011
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 667-6819
Fax: (910) 667-4639
Approximate (ZIP-level) locationGet directions
Mailing address
1915 Glen Meade Rd
Wilmington, NC 28403-6024
Registry dates
- Enumerated
- 2012-08-20
- Last updated
- 2012-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.