| Coastal Carolina Health Care Pa | |
|
901 Broad St Oriental NC 28571-9783 | |
| (252) 249-2888 | |
| Not Available |
| Full Name | Coastal Carolina Health Care Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 901 Broad St, Oriental, 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 |
|---|---|
| Coastal Carolina Health Care Pa 901 Broad St Oriental NC 28571-9783 Ph: (252) 249-2888 | Coastal Carolina Health Care Pa 901 Broad St Oriental NC 28571-9783 Ph: (252) 249-2888 |
| NPI Number | 1386194397 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386194397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |