Organization
UNIFOUR REHAB MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY S. COATES-WYNN MD (OWNER)
(828) 328-9200
Entity
Organization
Contact information
Practice address
1333 2ND ST NE STE 300, HICKORY, NC 28601-2594
(828) 328-9200
(828) 328-9219
Mailing address
2425 N CENTER ST, #302, HICKORY, NC 28601-1320
(828) 328-9200
(828) 328-9219
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903120
—
NC
Enumeration date
11/08/2005
Last updated
06/10/2009
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