RANDALL LEE COFFMAN

CHARLOTTE, NC
NPI1962015420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5013564)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: NC  5013564)
Enumeration Date2020-08-25
Last Update Date2023-05-22
Business Address
Mr. RANDALL LEE COFFMAN NP
10905 PROVIDENCE RD W SUITE G200
CHARLOTTE, NC 28277-1538
Phone number: 980-488-4900
Mailing Address
Mr. RANDALL LEE COFFMAN NP
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 980-488-4900