Individual
JIM COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
14077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26031229
DRIVERS LICENSE
NC
Enumeration date
09/20/2014
Last updated
09/20/2014
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