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Contact Information

COASTAL CAROLINA HEALTH CARE, PA
800 MEDICAL PARK AVE
NEW BERN, NC28562
 Phone: 252-637-3988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA HEALTH CARE, PA

NPI Number 1184278335
LBN Legal business name COASTAL CAROLINA HEALTH CARE, PA
Authorized official STEPHEN NUCKOLLS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2019
Last updated 08/16/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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