Individual
DR. GEOFFREY S COATES-WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 HOFFMEYER RD, FLORENCE, SC 29501-4011
(843) 679-4214
(843) 679-4217
Mailing address
1925 HOFFMEYER RD, FLORENCE, SC 29501-4011
(843) 679-4214
(843) 679-4217
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2005-01611
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24065
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903120
—
NC
05
—
T84067
—
SC
Enumeration date
11/08/2005
Last updated
10/08/2020
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