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Individual
SCOTT A COLEY
Active
Individual
SCOTT A COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16753
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167535
—
SC
01
—
4675093
AETNA
SC
01
—
58884
MEDCOST
SC
05
—
7906538
—
NC
Enumeration date
01/24/2006
Last updated
12/14/2020
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