| NPI | 1073911822 |
|---|---|
| Doing Business As | CCHC CREEKSIDE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN W NUCKOLLS CEO 252-514-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2024-02-01 |