Coker, Neysa Alice
Coker, Neysa Alice is an sole proprietor health care provider with primary practice located at 598 Nancy St Nw Ste 150 , Marietta GA 30060-1377. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Coker, Neysa Alice can be contacted via phone (770) 672-5629.Contact Information
Primary practice address
598 Nancy St Nw Ste 150
Marietta GA 30060-1377
Phone: (770) 672-5629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN014110 | Georgia |
Profile Details
| NPI number | 1760624332 |
|---|---|
| LBN Legal business name | Coker, Neysa Alice |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2009 |
| Last updated | Jun 29th, 2024 - about 5 months 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 | 1760624332 | NPPES |
| Georgia | MEDICAID | 404268068 |
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