Organization
ASSOCIATES IN DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L COKER JR. M.D. (PHYSICIAN-PRESIDENT)
(757) 838-8030
Entity
Organization
Contact information
Practice address
17 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 838-8030
(757) 838-8413
Mailing address
17 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 838-8030
(757) 838-8413
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101020320
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005930936
—
VA
05
—
010004055
—
VA
01
—
0101020320
WILLIAM L.COKER, JR, MD
VA
01
—
0101225840
LESLIE R. COKER, MD
VA
Enumeration date
01/30/2007
Last updated
11/25/2009
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