Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Other names
CCHC Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
1020 MEDICAL PARK AVE, NEW BERN, NC 28562-0000
(252) 634-2240
(252) 634-2241
Mailing address
1020 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 634-2240
(252) 634-2241
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
06/06/2006
Last updated
02/01/2024
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