Individual
CHRISTOPHER TODD COLTRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4611
(252) 744-3201
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275960999
—
NC
Enumeration date
09/27/2013
Last updated
02/06/2024
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