Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 28613 | SC |
NPI | 1053330498 |
---|---|
Provider Name | Dr. Eric Coates |
First Address | Columbia, SC 29201-2923 |
Second Address | Columbia, SC 29201-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |