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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 EXTENDED CARE
Organization subpart
No

Provider details

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

Contact information

Practice address
1040 MEDICAL PARK AVE, NEW BERN, NC 28562-5248
(252) 638-2273
(252) 633-1403
Mailing address
PO BOX 12248, NEW BERN, NC 28561-2248
(252) 514-6685
(252) 514-2745

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208M00000X
Hospitalist Physician

Other

Enumeration date
05/03/2019
Last updated
01/09/2020
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