Individual
JOHN COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-1319
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-1319
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDANT DUTY CORPSMAN
—
Enumeration date
05/03/2007
Last updated
10/08/2024
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