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Individual

TERESA J COCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9587
(205) 975-4623
Mailing address
706 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 638-9587

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.23567
AL
208000000X
Pediatrics Physician
MD.23567
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.23567
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009980150
AL
05
101832
AL
01
1245227495
TRICARE SOUTH
AL
01
515-06518
BCBS
AL
01
515-07925
BCBS
AL
01
7419720
AETNA
AL
Enumeration date
10/03/2005
Last updated
04/02/2019
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