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Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Other names
CCHC Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
1020 MEDICAL PARK AVE, NEW BERN, NC 28562-0000
(252) 634-2240
(252) 634-2241
Mailing address
1020 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 634-2240
(252) 634-2241
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
Other
Enumeration date
06/06/2006
Last updated
02/01/2024
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