MEDICARE: DRS. PHILLIPS AND COKER

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		SC

Other Identifiers

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

General Provider Information

NPI Number	:	1558325464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. PHILLIPS AND COKER

Provider Business Mailing Address
First Line	:	217 DOZIER BLVD
Second Line	:	SUITE 100
City	:	FLORENCE
State	:	SC
Zip	:	29501-4090
Country	:	US
Telephone Number	:	843-669-5162
Fax Number	:	843-667-4573

Provider Business Practice Location Address
First Line	:	1594 FREEDOM BLVD
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29505-6046
Country	:	US
Telephone Number	:	843-669-5162
Fax Number	:	843-667-4573

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN N COKER
Credential	:	M.D.
Telephone Number	:	843-667-4929

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	08/22/2020

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Directions to “DRS. PHILLIPS AND COKER ” Practice Location

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