Individual
COURTNEY COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1980 N HWY, COVINGTON, LA 70433-5158
(985) 809-6195
Mailing address
1980 N HIGHWAY 190, COVINGTON, LA 70433-5158
(985) 809-6195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
301434
LA
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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