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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558704791 | NPPES |
| Florida | MEDICAID | 100073600 |
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