Individual
MS. GENE E COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST MOT 6TH FLOOR, ATLANTA, GA 30308-2225
(404) 686-2513
(404) 686-4959
Mailing address
550 PEACHTREE ST MOT 6TH FLOOR, ATLANTA, GA 30308-2225
(404) 686-2513
(404) 686-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004001
MEDICAL LISENCE NUMBER
GA
Enumeration date
10/11/2006
Last updated
03/07/2023
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