Provider Demographics
NPI:1376649723
Name:COLEY, IRENE BELINDA (PA)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:BELINDA
Last Name:COLEY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:691 PRENTISS ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-4521
Mailing Address - Country:US
Mailing Address - Phone:843-762-9567
Mailing Address - Fax:
Practice Address - Street 1:RALPH H. JOHNSON VA MEDICAL CENTER
Practice Address - Street 2:109 BEE STREET
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401
Practice Address - Country:US
Practice Address - Phone:843-577-5011
Practice Address - Fax:843-805-5790
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical