Organization
COULTER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN COULTER M.D. (OWNER)
(803) 534-0437
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
(803) 531-1464
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
05/26/2011
Last updated
05/26/2011
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