Dr. Zachary Joseph Coffman, M.D.
Pediatrics, Pediatric Critical Care Medicine in Charlotte, NC. Individual provider (NPI-1).
NPI number1508109364
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1508109364
- Entity type
- Individual (NPI-1)
- Name
- Dr. Zachary Joseph Coffman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2013
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | ME145837 | FL | Yes |
| 208000000X | Pediatrics | ME145837 | FL | |
| 208000000X | Pediatrics | 321914 | NC | |
| 2080P0202X | Pediatrics, Pediatric Cardiology | ME145837 | FL | |
| 2080P0202X | Pediatrics, Pediatric Cardiology | 321914 | NC | |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | 321914 | NC | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1000 Blythe Blvd Ste 500Charlotte, NC 28203-5812
Phone 704-373-1813
Mailing address
1001 Blythe Blvd Ste 500Charlotte, NC 28203-5863
Phone 704-373-1813 · Fax 704-342-5871
Other practice locations
501 6th Ave S
St Petersburg, FL 33701-4634
St Petersburg, FL 33701-4634
Phone 864-884-5910
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