Individual
MR. THOMAS E COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
909 PIREWAY ROAD, TABOR CITY, NC 28463-8942
(910) 653-2112
(910) 653-2346
Mailing address
3439 CASEY STREET, LORIS, SC 29569-2903
(843) 756-5300
(843) 756-6059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100190
NC
363AM0700X
Medical Physician Assistant
PA103
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02787
BCBS
NC
05
—
5950653
—
NC
05
—
E03PA0
—
SC
Enumeration date
04/16/2007
Last updated
02/18/2010
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