Organization
COASTAL CAROLINA HEALTH CARE, PA
Active
Other names
CCHC Podiatry, CCHC Craven Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
800 MEDICAL PARK AVE, NEW BERN, NC 28562
(252) 637-3988
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 514-6685
(252) 514-2745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
08/16/2024
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