Individual
JASON A COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 N CENTER ST, HICKORY, NC 28601-5046
(828) 315-5000
Mailing address
PO BOX 643822, CINCINNATI, OH 45264-3822
(800) 599-0207
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200001101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128RV
BCBS
NC
05
—
89128RV
—
NC
01
—
P00251739
RAILROAD MEDICARE
NC
Enumeration date
04/04/2006
Last updated
01/06/2012
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