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Contact Information

JIM COATES
500 TYVOLA RD
CHARLOTTE, NC28217-3504
 Phone: 704-501-2402
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric

1835G0303X
Indicates primary specialty

NPI Profile & details for JIM COATES · (Male)

NPI # 1952703027
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2014
Last updated 09/20/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 14077
  • NC Other 26031229 DRIVERS LICENSE
Hospital affiliation(s) Not Available
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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