| Doctor Name: | MRS. BARBRA BUSH COKER |
| NPI Number: | 1043623739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 18818 |
| Business Practice Address: | 3601 Ladson Rd Ladson, SC - 294564304 |
| Business Phone Number: | 8432020826 |
| Business Fax Number: | |
| Mailing Address: | 3601 Ladson Rd, LADSON |
| State: | SC |
| Postal Code: | 294564304 |
| Phone Number: | 8432020826 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2014 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 18818 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |