Coly, Erasme
Coly, Erasme is an individual health care provider with primary practice located at 701 N State Of Franklin Rd Ste 9, Johnson City TN 37604-3645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Coly, Erasme can be contacted via phone (423) 926-4468.Contact Information
Primary practice address
701 N State Of Franklin Rd Ste 9
Johnson City TN 37604-3645
Phone: (423) 926-4468
Fax: (423) 928-4838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 049439 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18820 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 18820 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 54651 | Tennessee |
Profile Details
| NPI number | 1083745335 |
|---|---|
| LBN Legal business name | Coly, Erasme |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Feb 12th, 2018 - about 6 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 | 1083745335 | NPPES |
| South Carolina | Other | F365496891 | MEDICARE |
| South Carolina | Other | 060062892 | MEDICARE |
| South Carolina | Other | 18820 | MEDICARE |
| South Carolina | MEDICAID | 188200 | MEDICARE |
| South Carolina | Other | 571109147 | MEDICARE |
| South Carolina | Other | 11BDVMH | MEDICARE |
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