Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 2000-01476 | NC |
NPI | 1104868793 |
---|---|
Provider Name | Alan S Coulson |
First Address | Hamlet, NC 28345-1227 |
Second Address | Hamlet, NC 28345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 16/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127XT | BCBS NC INDIV (01) | NC |
2281334B | MEDICARE (01) | NC |
5905687 | CAROLINA ACCESS (01) | NC |
89127XT | (05) | NC |
A24369 | (02) | NC |
N0147A | (05) | SC |
P00405174 | RAILROAD MEDICARE (01) | NC |