Coker, Clarence E
Coker, Clarence E is an individual health care provider with primary practice located at 2006 Augusta Hwy , Lexington SC 29072-2208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Coker, Clarence E can be contacted via phone (803) 785-4747.Contact Information
Primary practice address
2006 Augusta Hwy
Lexington SC 29072-2208
Phone: (803) 785-4747
Fax: (803) 785-4750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 21231 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21231 | South Carolina |
Profile Details
NPI number | 1003891508 |
---|---|
LBN Legal business name | Coker, Clarence E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2005 |
Last updated | Oct 21st, 2020 - about 5 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003891508 | NPPES |
South Carolina | MEDICAID | GP1370 | |
South Carolina | MEDICAID | GP4819 |
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