NPI | 1164600615 |
---|---|
Former Name | MARCY LYNN COASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 048828) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048828) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2017-03-12 |