Provider Demographics
NPI:1780771360
Name:COLEY, KATHERINE PRICE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:PRICE
Last Name:COLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:29 PLANTATION PARK DR STE 401
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9006
Mailing Address - Country:US
Mailing Address - Phone:843-341-9700
Mailing Address - Fax:843-341-3282
Practice Address - Street 1:29 PLANTATION PARK DR STE 401
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9006
Practice Address - Country:US
Practice Address - Phone:843-341-9700
Practice Address - Fax:843-341-3282
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC26888207VX0000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC268882Medicaid
SC268882Medicaid