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Mr. Derek Kelly Coburn, PA
Physician Assistant in Charlotte, North Carolina
NPI 1861851784

Derek Kelly Coburn is a Physician Assistant based in Charlotte, NC. Derek Kelly Coburn practices in Charlotte, NC and has the professional credentials of PA. The NPI Number for Derek Kelly Coburn is 1861851784 and holds a License No. 001006199 (North Carolina).

The current practice location address for Derek Kelly Coburn is 2001 Vail Ave, Charlotte, NC and can be reached out via phone at 208-863-8974.

Location: 2001 Vail Ave, Charlotte, NC, 28211-1257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861851784
Provider Name
Derek Kelly Coburn
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2001 Vail Ave, Charlotte, NC, 28211-1257
Phone Number
208-863-8974
Fax Number
Provider Enumeration Date
02/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 Vail Ave
City
Charlotte
State
North Carolina
Zip
28207-1248
Phone Number
208-863-8974
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Vail Ave
City
Charlotte
State
North Carolina
Zip
28207-1248
Phone Number
208-863-8974
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
0010-06199 (North Carolina)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
001006199 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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