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DAWN M COFFMAN P.A.
Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1437212834
Individual Registrant: DAWN M COFFMAN P.A.
Gender: F
Not Sole Proprietor
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
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
Tel: 770-997-5714 Fax: 770-997-2844
Registration Information:
NPI: 1437212834
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical | GA | 002489 |
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | GA | 002489 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 218131000A | GA | 05 |
