Individual
DEBRA A. COATS-WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4321 COLLINGTON RD STE 230, BOWIE, MD 20716
(301) 809-4321
(301) 809-5798
Mailing address
4321 COLLINGTON RD STE 230, BOWIE, MD 20716-2261
(301) 809-4321
(301) 890-5798
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD21166
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025713700
—
DC
05
—
102223900
—
FL
05
—
560001400
—
MD
05
—
5902673
—
VA
01
—
ME138725
FL LICENSE
FL
Enumeration date
05/22/2006
Last updated
09/23/2019
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