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Organization
COASTAL CAROLINA HEALTH CARE, PA
Active
Organization
COASTAL CAROLINA HEALTH CARE, PA
Active
Other names
CCHC Podiatry, CCHC Craven Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
800 MEDICAL PARK AVE, NEW BERN, NC 28562
(252) 637-3988
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 514-6685
(252) 514-2745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
08/16/2024
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