Healthcare Provider Details

I. General information

NPI: 1275198228
Provider Name (Legal Business Name): DONNA JACQUELINE COETZEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5003 OLD CLINIC BUILDING CB 7550
CHAPEL HILL NC
27599-7550
US

IV. Provider business mailing address

5003 OLD CLINIC BUILDING CB 7550
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 984-364-2485
  • Fax: 984-215-5370
Mailing address:
  • Phone: 984-364-2485
  • Fax: 984-215-5370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number2025-03441
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2025-03441
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: