Coke, Sallie P

Coke, Sallie P is an sole proprietor health care provider with primary practice located at 101 Houston St , Barnesville GA 30204-1660. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Coke, Sallie P can be contacted via phone (770) 358-1961.

Contact Information

Primary practice address
101 Houston St Barnesville GA 30204-1660
Phone: (770) 358-1961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN097198 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN097198 Georgia

Profile Details

NPI number 1942295431
LBN Legal business name Coke, Sallie P
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2010 - about 15 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 1942295431 NPPES
Georgia MEDICAID 340260156A

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