Individual
MICHAEL LEE COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25897
NC
207QA0000X
Adolescent Medicine (Family Medicine) Physician
25897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10060753
—
VA
01
—
1171M
BCBS OF NC
—
01
—
27509
PARTNERS
—
05
—
3810010790
—
WV
01
—
7543286
AETNA
—
01
—
83120
MEDCOST
—
05
—
891171M
—
NC
05
—
Q25897
—
SC
Enumeration date
11/30/2005
Last updated
03/25/2014
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