Provider Demographics
NPI:1730953746
Name:COYER, FREDERICK JAMES V (PA-C)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:JAMES
Last Name:COYER
Suffix:V
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3334 MAPLE LILAC CT APT C
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-6479
Mailing Address - Country:US
Mailing Address - Phone:704-773-5354
Mailing Address - Fax:
Practice Address - Street 1:135 W 10TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2229
Practice Address - Country:US
Practice Address - Phone:704-773-5354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2024-04-12
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Provider Licenses
StateLicense IDTaxonomies
NC0010-14004363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical