Bae, Coney

Bae, Coney is an individual health care provider with primary practice located at 1600 Vernon Rd Ste A , Lagrange GA 30240-4143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bae, Coney can be contacted via phone (706) 880-4143.

Contact Information

Primary practice address
1600 Vernon Rd Ste A Lagrange GA 30240-4143
Phone: (706) 880-4143
Fax: (706) 880-7343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 89209 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X ME133865 Florida

Profile Details

NPI number 1558704791
LBN Legal business name Bae, Coney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Sep 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558704791 NPPES
Florida MEDICAID 100073600

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