Individual
DR. CLARENCE E COKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 AUGUSTA HWY, LEXINGTON, SC 29072-2208
(803) 785-4747
(803) 785-4750
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21231
SC
207QS1201X
Sleep Medicine (Family Medicine) Physician
21231
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1370
—
SC
05
—
GP4819
—
SC
Enumeration date
12/07/2005
Last updated
10/21/2020
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