Coulter Wiley Clement

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cullowhee, NC

NPI 1689204331 · NPPES record last updated Jan 22, 2020

Key facts

NPI
1689204331
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3971 Little Savannah Road
Cullowhee, NC 28723
Phone
(828) 227-7271
NPI assigned
Jan 22, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3971 Little Savannah Road
Cullowhee, NC 28723

Mailing address

PO Box 1507
Murphy, NC 28906-1507
Phone (828) 644-8204

Other providers in Cullowhee, NC

All providers in Cullowhee, NC · Student in an Organized Health Care Education/Training Program in North Carolina

Sources for this page

Verify at the official NPI Registry.