Individual
DR. BRANDON JAMES COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
(843) 449-9531
Mailing address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
(843) 449-9531
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD40685
SC
Other
Enumeration date
05/24/2012
Last updated
12/19/2019
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