# COASTAL CAROLINA HEALTH CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCHC Sleep Lab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376582965
- **Authorized official:** MR. STEPHEN NUCKOLLS (CEO)
- **Authorized official phone:** (252) 514-6685

## Contact information

- **Practice address:** 1020 MEDICAL PARK AVE, NEW BERN, NC 28562-0000
- **Practice address phone:** (252) 634-2240
- **Practice address fax:** (252) 634-2241
- **Mailing address:** 1020 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
- **Mailing address phone:** (252) 634-2240
- **Mailing address fax:** (252) 634-2241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 02/01/2024