Individual
MARY VIRGINIA COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN, LN
Contact information
Practice address
1110 E CLUB LN NE, ATLANTA, GA 30319-1132
(404) 919-0602
(404) 467-4167
Mailing address
1110 E CLUB LN NE, ATLANTA, GA 30319-1132
(404) 919-0602
(404) 467-4167
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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