Coker Pediatrics Llc

LBN: Coker Pediatrics Llc
Coker Pediatrics Llc is an health care organization with primary practice located at 14557 Highway 19 Suite A, Griffin GA 30224-9582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Coker Pediatrics Llc can be contacted via phone (678) 688-1580, or through Coker, Mark Allen via phone (678) 688-1580.

Contact Information

Primary practice address
14557 Highway 19 Suite A Griffin GA 30224-9582
Phone: (678) 688-1580
Fax: (678) 688-1594
Website:
Map and Directions
Authorized official contact:
Name: Coker, Mark Allen Doctor of Medicine (MD)
Phone: (678) 688-1580

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 056276 Georgia

Profile Details

NPI number 1871707489
LBN Legal business name Coker Pediatrics Llc
DBA Doing business as
Authorized official Coker, Mark Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Mar 24th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871707489 NPPES
Georgia MEDICAID 579118048J

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