Coughlin, Renee
Coughlin, Renee is an individual health care provider with primary practice located at 2258 Wrightsboro Rd Ste 300 , Augusta GA 30904-4788. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Coughlin, Renee can be contacted via phone (706) 792-5075.Contact Information
Primary practice address
2258 Wrightsboro Rd Ste 300
Augusta GA 30904-4788
Phone: (706) 792-5075
Fax: (706) 792-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 041763 | Georgia |
Profile Details
| NPI number | 1508832338 |
|---|---|
| LBN Legal business name | Coughlin, Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Nov 1st, 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 | 1508832338 | NPPES |
| Georgia | MEDICAID | 000723368C | |
| Georgia | MEDICAID | 00723368B |
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