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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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