Provider Demographics
NPI:1952478935
Name:COATS, STEPHEN DALE (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DALE
Last Name:COATS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EXCHANGE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-7902
Mailing Address - Country:US
Mailing Address - Phone:843-681-4977
Mailing Address - Fax:
Practice Address - Street 1:100 EXCHANGE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-7902
Practice Address - Country:US
Practice Address - Phone:843-681-4977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAP91365208M00000X
SC37589207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist