Individual
EVELYN COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 MALDEN DR, FLORENCE, SC 29505-3128
(843) 968-8333
Mailing address
1812 MALDEN DR, FLORENCE, SC 29505-3128
(843) 968-8333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN1734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1759
—
SC
01
—
P00906554
MEDICARE RAILROAD PTAN
SC
Enumeration date
08/20/2006
Last updated
10/28/2016
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