Coffman, Mary Virginia
Coffman, Mary Virginia is an sole proprietor health care provider with primary practice located at 1110 E Club Ln Ne , Atlanta GA 30319-1132. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Coffman, Mary Virginia can be contacted via phone (404) 919-0602.Contact Information
Primary practice address
1110 E Club Ln Ne
Atlanta GA 30319-1132
Phone: (404) 919-0602
Fax: (404) 467-4167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X |
Profile Details
| NPI number | 1104691476 |
|---|---|
| LBN Legal business name | Coffman, Mary Virginia |
| Credentials | MS, CNS, LDN, LN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2023 |
| Last updated | Nov 16th, 2023 - about 3 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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