Jeffrey Alan Coulter, MS, ATC
Individual provider Active NPI Athletic Trainer · Newberry, SC
NPI 1780936732 · NPPES record last updated Jan 30, 2015
Key facts
- NPI
- 1780936732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1398 (SC)
- Practice address
- 2100 College St
Newberry, SC 29108-2126 - Phone
- (803) 321-5184
- Fax
- (800) 882-9648
- NPI assigned
- Oct 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1398 | SC | Yes |
Addresses
Primary practice location
2100 College St
Newberry, SC 29108-2126
Mailing address
100 Walden Heights Dr
Apt 513
Irmo, SC 29063-7865
Phone (803) 673-9498
Other providers in Newberry, SC
- Carolyn Clark
- Paul Edward Cleary
- Elizabeth Ashleigh Cline
- Compass Family Medicine,PA
- Peggy R Copulsky
- Katherine Cox
- Cromer Medical Services Inc
- Ronnie W Cromer
- Linda J Crout Wingard
- Lukas Daniel
All providers in Newberry, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.