MEDICARE: DR. STEVEN COKER MD

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
1	207V00000X	Obstetrics & Gynecology Physician	7337	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4255293	OTHER	SC	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	E2869	OTHER	SC	MEDCOST
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	470890494	OTHER	SC	STANDARD TAX ID
6	0700476	OTHER	SC	CAROLINA CARE PLAN

General Provider Information

NPI Number	:	1265492953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN COKER MD

Provider Business Mailing Address
First Line	:	PO BOX 11271
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4003
Country	:	US
Telephone Number	:	877-848-1457
Fax Number	:

Provider Business Practice Location Address
First Line	:	1590 FREEDOM BLVD
Second Line	:	STE. B
City	:	FLORENCE
State	:	SC
Zip	:	29505-6071
Country	:	US
Telephone Number	:	843-665-9581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	01/06/2014

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