Individual
MARK A COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14557 HIGHWAY 19 STE A, GRIFFIN, GA 30224-9582
(678) 688-1580
(678) 688-1594
Mailing address
14557 HIGHWAY 19 STE A, GRIFFIN, GA 30224-9582
(678) 688-1580
(678) 688-1594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
056276
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579118048J
—
GA
Enumeration date
10/24/2006
Last updated
11/07/2012
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