NPI | 1568401156 |
---|---|
Doing Business As | CCHC COASTAL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | STEPHEN NUCKOLLS CEO 252-514-6685 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-02-01 |