Individual
SCOTT A COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
120 HEYWOOD AVE, SUITE 200, SPARTANBURG, SC 29302-1210
(864) 573-9595
(864) 585-3752
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16753
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167535
—
SC
01
—
4675093
AETNA
SC
01
—
58884
MEDCOST
SC
05
—
7906538
—
NC
Enumeration date
01/24/2006
Last updated
12/14/2020
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