| Coastal Carolina Health Care Pa | |
|
606 Main St Bayboro NC 28515-9632 | |
| (252) 745-3191 | |
| Not Available |
| Full Name | Coastal Carolina Health Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 606 Main St, Bayboro, 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 606 Main St Bayboro NC 28515-9632 Ph: (252) 745-3191 | Coastal Carolina Health Care Pa 606 Main St Bayboro NC 28515-9632 Ph: (252) 745-3191 |
| NPI Number | 1063962074 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063962074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
County Of Pamlico Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 North Street, Bayboro, NC 28515 Phone: 252-745-5111 Fax: 252-745-7684 |