Individual
JANET COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 HIGHWAY 15, UNION, MS 39365-9088
(601) 774-8214
(601) 774-9102
Mailing address
550 DECATUR CARTHAGE RD, DECATUR, MS 39327-9002
(601) 480-8316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
052059
GA
207Q00000X
Family Medicine Physician
43074
CO
208M00000X
Hospitalist Physician
Primary
0043074
CO
208M00000X
Hospitalist Physician
19451
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000679907
—
GA
05
—
06872882
—
MS
Enumeration date
07/21/2005
Last updated
08/20/2019
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