Individual
DR. CLIFFORD EDWIN COILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 S TYLER ST STE 200, COVINGTON, LA 70433-2353
(985) 892-9143
(985) 892-9656
Mailing address
1203 S TYLER ST STE 200, COVINGTON, LA 70433-2353
(985) 892-9143
(985) 892-9656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-2934
MS
207RP1001X
Pulmonary Disease Physician
Primary
326530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15163535
MEDICARE
LA
Enumeration date
05/21/2015
Last updated
06/21/2021
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