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Contact Information

MICHAEL COLETTA, MD
809 82ND PKWY
MYRTLE BEACH, SC29572
 Phone: 843-692-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL COLETTA · (Male)

NPI # 1073059911
Status Active
Credentials MD
Entity Individual
Enumeration date 01/17/2017
Last updated 01/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA11137100
  • SC License # 82076
Hospital affiliation(s)
  • GRAND STRAND REGIONAL MEDICAL CENTER - (Acute Care)
    809 82ND PARKWAY
    MYRTLE BEACH, SC 29572
  • ST FRANCIS HOSPITAL - (Acute Care)
    7TH AND CLAYTON STS
    WILMINGTON, DE 19805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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