Coates-Wynn, Geoffrey S

Coates-Wynn, Geoffrey S is an individual health care provider with primary practice located at 1925 Hoffmeyer Rd , Florence SC 29501-4011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Coates-Wynn, Geoffrey S can be contacted via phone (843) 679-4214.

Contact Information

Primary practice address
1925 Hoffmeyer Rd Florence SC 29501-4011
Phone: (843) 679-4214
Fax: (843) 679-4217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2005-01611 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 24065 South Carolina

Profile Details

NPI number 1316928377
LBN Legal business name Coates-Wynn, Geoffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316928377 NPPES
North Carolina MEDICAID 5903120
North Carolina MEDICAID T84067

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