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NPI Code Detail

MEDICARE: GRETCHEN AILEEN COADY M.D.

MEDICARE: GRETCHEN AILEEN COADY 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
1208000000XPediatrics Physician229801MA
2208000000XPediatrics Physician37427SC
3207R00000XInternal Medicine Physician37427SC
4207R00000XInternal Medicine Physician229801MA
5208M00000XHospitalist Physician37427SC

General Provider Information

NPI Number : 1548488836
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN AILEEN COADY M.D.
Provider Business Mailing Address
First Line : 1736 OLD YORK RD
Second Line :
City : YORK
State : SC
Zip : 29745-9458
Country : US
Telephone Number : 803-620-2929
Fax Number : 844-749-4370
Provider Business Practice Location Address
First Line : 701 GROVE RD
Second Line : 5TH FLOOR
City : GREENVILLE
State : SC
Zip : 29605-4210
Country : US
Telephone Number : 864-455-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 06/02/2026

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