Individual
JOHN CONNOR COALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
3045 KATE BOND RD, BARTLETT, TN 38133-4004
(901) 641-3000
(901) 381-4664
Mailing address
3420 ANNAROSE DR, BARTLETT, TN 38133-2614
(901) 827-5498
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4070
TN
363AS0400X
Surgical Physician Assistant
Primary
4070
TN
Other
Enumeration date
12/30/2019
Last updated
06/02/2020
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