# CORDINAT MEDICAL STAFFING AND CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cordinat Medical Consulting
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770952707
- **Authorized official:** DETRESE REJANET BOWEN (OWNER)
- **Authorized official phone:** (470) 242-5823

## Contact information

- **Practice address:** 1475 BUFORD DR, SUTIE 403-154, LAWRENCEVILLE, GA 30043-3798
- **Practice address phone:** (470) 242-5823
- **Mailing address:** 1475 BUFORD DR, SUTIE 403-154, LAWRENCEVILLE, GA 30043-3798
- **Mailing address phone:** (470) 242-5823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2015015535 | GA | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 09/21/2015