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1225138803
TIM COFFEY
COLUMBIA, SC
NPI
1225138803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 1741)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
-- TIM COFFEY ANP
4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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Mailing Address
-- TIM COFFEY ANP
4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDEN
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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