Provider Demographics
NPI:1386721199
Name:COYMAN, MERRE JAY (DC)
Entity type:Individual
Prefix:DR
First Name:MERRE
Middle Name:JAY
Last Name:COYMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-6208
Mailing Address - Country:US
Mailing Address - Phone:843-525-1002
Mailing Address - Fax:843-525-0281
Practice Address - Street 1:34 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-6208
Practice Address - Country:US
Practice Address - Phone:843-525-1002
Practice Address - Fax:843-525-0281
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor