Coley, Scott A

Coley, Scott A is an individual health care provider with primary practice located at 120 Heywood Ave Suite 200, Spartanburg SC 29302-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coley, Scott A can be contacted via phone (864) 573-9595.

Contact Information

Primary practice address
120 Heywood Ave Suite 200 Spartanburg SC 29302-1210
Phone: (864) 573-9595
Fax: (864) 585-3752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16753 South Carolina

Profile Details

NPI number 1184694168
LBN Legal business name Coley, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184694168 NPPES
South Carolina Other 58884 MEDCOST
South Carolina MEDICAID 167535 MEDCOST
South Carolina MEDICAID 7906538 MEDCOST
South Carolina Other 4675093 MEDCOST

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