Coastal Carolina Health Care PA
Family Medicine in New Bern, NC. Organization (NPI-2).
NPI number1366498297
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1366498297
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Carolina Health Care PA
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Other names
- Cchc New Bern Family Practice And Cchc Urgent Care (Doing Business As)
Practice location
1040 Medical Park AveNew Bern, NC 28562-5248
Phone 252-633-1678 · Fax 252-633-1403
Mailing address
1040 Medical Park AveNew Bern, NC 28562-5248
Phone 252-633-1678 · Fax 252-633-1403
Authorized official
Stephen Nuckolls
Ceo
2525146685
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