Doctor Name: | DAWN M COFFMAN |
NPI Number: | 1437212834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 002489 |
Business Practice Address: | 190 Handley Rd. Tyrone, GA - 30290 |
Business Phone Number: | 7709975714 |
Business Fax Number: | 7709972844 |
Mailing Address: | 190 Handley Rd., TYRONE |
State: | GA |
Postal Code: | 30290 |
Phone Number: | 7709975714 |
Fax Number: | 7709972844 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 002489 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |