# COASTAL CAROLINA HEALTH CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCHC Podiatry, CCHC Craven Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184278335
- **Authorized official:** STEPHEN NUCKOLLS (CEO)
- **Authorized official phone:** (252) 514-6685

## Contact information

- **Practice address:** 800 MEDICAL PARK AVE, NEW BERN, NC 28562
- **Practice address phone:** (252) 637-3988
- **Mailing address:** PO BOX 12248, NEW BERN, NC 28561-2248
- **Mailing address phone:** (252) 514-6685
- **Mailing address fax:** (252) 514-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 08/16/2024