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NPI Code Detail

MEDICARE: COY EATON M.D.

MEDICARE: COY EATON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician12523SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01505888OTHERSCRAILROAD MEDICARE
3110147876OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245206234
Entity Type Code : Individual
Provider Name (Legal Business Name) : COY EATON M.D.
Provider Business Mailing Address
First Line : PO BOX 743070
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3070
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 1330 BOILING SPRINGS RD STE 2500
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-4214
Country : US
Telephone Number : 864-585-5433
Fax Number : 864-591-4053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 06/17/2021

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Directions to “ COY EATON M.D.” Practice Location

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