Individual
KAROLINA COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003152
VA
Other
Enumeration date
10/07/2009
Last updated
02/03/2011
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