Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2013-00416 | NC |
NPI | 1083762165 |
---|---|
Provider Name | Nathaniel Coleman |
First Address | Durham, NC 27713-6627 |
Second Address | Durham, NC 27713-6627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 23/04/2014 |