Coffman, Randall Lee
Coffman, Randall Lee is an individual health care provider with primary practice located at 10905 Providence Rd W Suite G200, Charlotte NC 28277-1538. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Coffman, Randall Lee can be contacted via phone (980) 488-4900.Contact Information
Primary practice address
10905 Providence Rd W Suite G200
Charlotte NC 28277-1538
Phone: (980) 488-4900
Fax: (980) 488-4905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5013564 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5013564 | North Carolina |
Profile Details
NPI number | 1962015420 |
---|---|
LBN Legal business name | Coffman, Randall Lee |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2020 |
Last updated | May 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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