Individual
MR. LOUIS D COULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-8960
(931) 645-1564
(931) 645-3842
Mailing address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-8960
(931) 645-1564
(931) 645-3842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1052220
NE
Other
Enumeration date
01/02/2007
Last updated
11/20/2014
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