Doctor Name: | MRS. SHEILA HOLDER COAKLEY |
NPI Number: | 1831342328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 115983 |
Business Practice Address: | 1203 Maple St Greensboro, NC - 274056910 |
Business Phone Number: | 3366413896 |
Business Fax Number: | |
Mailing Address: | 1203 Maple St, GREENSBORO |
State: | NC |
Postal Code: | 274056910 |
Phone Number: | 3366413896 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 115983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |