Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Other names
CCHC New Bern Family Practice and CCHC Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
1040 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 633-1678
(252) 633-1403
Mailing address
1040 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 633-1678
(252) 633-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/25/2006
Last updated
02/01/2024
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