Individual
MR. JOHN MCRAE COATS V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2913 BETIN AVENUE PRIMARY HEALTH SERVICES CENTER, MONROE, LA 71201
(318) 388-1250
(318) 388-0948
Mailing address
PO BOX 7495 PRIMARY HEALTH SERVICES CENTER, MONROE, LA 71211
(318) 388-1250
(318) 388-0948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019519
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1381705
—
LA
Enumeration date
04/19/2006
Last updated
06/05/2019
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