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:

Map and Directions

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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1558704791	NPPES
Florida	MEDICAID	100073600

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