Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Carolina Health Care PA

Organization Internal Medicine Physician · NPI 1063962074

Coastal Carolina Health Care PA is an Internal Medicine Physician in Bayboro, North Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

606 Main St
Bayboro, NC 28515-9632
Phone: (252) 745-3191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1063962074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Nuckolls — Ceo · (252) 514-6685
Other names Cchc Pamlico Medical Center; Cchc Pamlico Medical Center
NPI enumeratedOctober 13, 2016
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing address606 Main St, Bayboro, NC 28515-9632

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