Coulter Wiley Clement
Student in an Organized Health Care Education/Training Program in Cullowhee, NC. Individual provider (NPI-1).
NPI number1689204331
StatusActive
Last updated in NPPESJan 22, 2020
Details
- NPI
- 1689204331
- Entity type
- Individual (NPI-1)
- Name
- Coulter Wiley Clement
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2020
- Certification date
- Jan 22, 2020
- Last updated
- Jan 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
3971 Little Savannah RoadCullowhee, NC 28723
Phone 828-227-7271
Mailing address
Po Box 1507Murphy, NC 28906-1507
Phone 828-644-8204
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All 36 Student in an Organized Health Care Education/Training Program providers in Cullowhee · All 153 providers in Cullowhee
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