Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2008-00266 | NC |
N | 208600000X | Surgeon | 2008-00266 | NC |
N | 208200000X | Surgeon | E-5147 | AR |
N | 208600000X | Surgeon | E-5147 | AR |
Y | 2086S0105X | Surgery of the Hand | 2008-00266 | NC |
N | 2086S0105X | Surgery of the Hand | E-5147 | AR |
NPI | 1306927850 |
---|---|
Provider Name | Dr. Harrill Christopher Coley |
First Address | Greensboro, NC 27455-2878 |
Second Address | Greensboro, NC 27455-2594 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 28/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5909024 | (05) | NC |