Individual
MR. FREDERICK JAMES COYER V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
135 W 10TH ST, CHARLOTTE, NC 28202-2229
(704) 773-5354
Mailing address
3334 MAPLE LILAC CT APT C, MONROE, NC 28110-6479
(704) 773-5354
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-14004
NC
Other
Enumeration date
11/09/2023
Last updated
04/12/2024
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