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DAWN M COFFMAN P.A.

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1437212834

Individual Registrant:
 DAWN M COFFMAN P.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
190 HANDLEY RD STE A  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2844

Contact information for business:
190 HANDLEY RD STE A  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2844

Registration Information:
NPI: 1437212834
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
GA002489
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
GA002489

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
218131000AGA05




HEALTH CARE JOBS GA - Page 1



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