Individual
ERIN STEPHANIE COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
Mailing address
2180 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5798
(843) 556-8886
(843) 556-8850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
22879
CA
363A00000X
Physician Assistant
C04906
MD
363A00000X
Physician Assistant
Primary
PA2723
SC
363A00000X
Physician Assistant
—
MD
Other
Enumeration date
10/12/2012
Last updated
12/18/2019
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