| Cchc Creekside Primary Care | |
|
1010 Lathan Ln New Bern NC 28562-4002 | |
| (252) 672-0224 | |
| Not Available |
| Full Name | Cchc Creekside Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1010 Lathan Ln, New Bern, North Carolina |
| Authorized Official Name and Position | Stephen W Nuckolls (CEO) |
| Authorized Official Contact | 2525146685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cchc Creekside Primary Care Po Box 12248 New Bern NC 28561-2248 Ph: (252) 672-0224 | Cchc Creekside Primary Care 1010 Lathan Ln New Bern NC 28562-4002 Ph: (252) 672-0224 |
| NPI Number | 1073911822 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073911822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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