Doctor Name: | COYETTE ANNISEE TELEMAQUE |
NPI Number: | 1104250950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN184550 |
Business Practice Address: | 3331 Hamilton Mill Rd Ste 1102 Buford, GA - 30519 |
Business Phone Number: | 6785410588 |
Business Fax Number: | 6785410610 |
Mailing Address: | 3331 Hamilton Mill Rd Ste 1102, BUFORD |
State: | GA |
Postal Code: | 30519 |
Phone Number: | 6785410588 |
Fax Number: | 6785410610 |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN184550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |