Individual
DR. JERRY EVAN COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7170
(252) 641-7373
Mailing address
130 DEVONSHIRE LN, WILMINGTON, NC 28409-8111
(910) 392-6902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106170
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
106170
NC
Other
Enumeration date
11/06/2006
Last updated
08/31/2007
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