Coke, Madia J

Coke, Madia J is an individual health care provider with primary practice located at 2060 Turtle Creek Way , Lawrenceville GA 30043-6944. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Coke, Madia J can be contacted via phone (470) 207-5388.

Contact Information

Primary practice address
2060 Turtle Creek Way Lawrenceville GA 30043-6944
Phone: (470) 207-5388
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1125860 Georgia
Behavioral Health & Social Service Providers / School 103TS0200X 43844101 New York

Profile Details

NPI number 1346632544
LBN Legal business name Coke, Madia J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 10 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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