Organization
ANTHONY MEDICAL ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L COATS M.D. (MD OWNER)
(260) 447-8982
Entity
Organization
Contact information
Practice address
1330 N COLISEUM BLVD, FORT WAYNE, IN 46805-5526
(260) 447-8982
(260) 447-4483
Mailing address
1330 N COLISEUM BLVD, FORT WAYNE, IN 46805-5526
(260) 447-8982
(260) 447-4483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200401400A
—
IN
Enumeration date
12/16/2005
Last updated
10/24/2014
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