Organization
COASTAL CAROLINA HEALTH CARE PA
Active
Other names
CCHC Coastal Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NUCKOLLS (CEO)
(252) 514-6685
Entity
Organization
Contact information
Practice address
670 CARDINAL PLACE, NEW BERN, NC 28562
(252) 636-6222
(252) 636-5385
Mailing address
670 CARDINAL PL, NEW BERN, NC 28562-5201
(252) 636-6222
(252) 636-5385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/06/2006
Last updated
02/01/2024
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