Organization
COULTER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN CARN COULTER M.D. (PROVIDER)
(803) 534-0438
Entity
Organization
Contact information
Practice address
941 SUMMERS AVE, ORANGEBURG, SC 29115-4931
(803) 534-0437
(803) 531-1464
Mailing address
941 SUMMERS AVE, ORANGEBURG, SC 29115-4931
(803) 534-0437
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10582
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105825
—
SC
Enumeration date
12/05/2007
Last updated
06/25/2010
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