Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Other names
CCHC Pamlico Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
606 MAIN ST, BAYBORO, NC 28515-9632
(252) 745-3191
Mailing address
606 MAIN ST, BAYBORO, NC 28515-9632
(252) 745-3191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/13/2016
Last updated
02/01/2024
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