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Organization

COASTAL CAROLINA HEALTH CARE PA

Active
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Organization

COASTAL CAROLINA HEALTH CARE PA

Active
Other names
CCHC Pulmonary and Sleep Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN WITHEROW NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization

Contact information

Practice address
941 NEWMAN RD, NEW BERN, NC 28562-5252
(252) 639-5955
(252) 633-9249
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 514-2061
(252) 514-2745

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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