Individual
DR. MICHAEL COLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572
(843) 692-1000
Mailing address
701 N CLAYTON ST, WILMINGTON, DE 19805-3155
(302) 421-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11137100
NJ
207P00000X
Emergency Medicine Physician
82076
SC
Other
Enumeration date
01/17/2017
Last updated
01/17/2023
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