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Individual

DR. KATHERINE JOHNSON COATS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2075 RENAISSANCE PARK PL, CARY, NC 27513-2263
(919) 655-0625
(919) 655-0627
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1367
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0903F
BLUE CROSS BLUE SHIELD NC
NC
01
27635
SPECTERA
01
561761019
TRICARE
05
890903F
NC
Enumeration date
07/28/2006
Last updated
09/13/2024
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