Thomas E Coe, PAC
Physician Assistant, Medical in Tabor City, NC. Individual provider (NPI-1).
NPI number1497970545
StatusActive
Last updated in NPPESFeb 18, 2010
Details
- NPI
- 1497970545
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas E Coe
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Feb 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 100190 | NC | Yes |
| 363AM0700X | Physician Assistant, Medical | PA103 | SC |
Practice location
909 Pireway RoadTabor City, NC 28463-8942
Phone 910-653-2112 · Fax 910-653-2346
Mailing address
3439 Casey StreetLoris, SC 29569-2903
Phone 843-756-5300 · Fax 843-756-6059
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