Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Other names
CCHC Creekside Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
1010 LATHAN LN, NEW BERN, NC 28562-4002
(252) 672-0224
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 672-0224
(252) 672-0227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/10/2014
Last updated
02/01/2024
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