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NPI Code Detail

MEDICARE: DR. DONNA JACQUELINE COETZEE MD

MEDICARE: DR. DONNA JACQUELINE COETZEE 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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician2025-03441NC
2208M00000XHospitalist Physician2025-03441NC

General Provider Information

NPI Number : 1275198228
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA JACQUELINE COETZEE MD
Provider Business Mailing Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-681-8263
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-681-8263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 04/20/2026

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