Individual
DR. COULTER NATHAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 876-5053
Mailing address
96 JONATHAN LUCAS STREET CSB 301 MSC 606, CHARLESTON, SC 29425-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
LL90332
SC
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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