Individual
BERETTA CRAFT-COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
125 OAKSIDE CT STE 102, CANTON, GA 30114-2498
(770) 213-8376
Mailing address
626 BENT CREEK DR, EVANS, GA 30809-7445
(706) 833-8983
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0010-10058
NC
363AS0400X
Surgical Physician Assistant
Primary
002366
GA
363AS0400X
Surgical Physician Assistant
0110007147
VA
363AS0400X
Surgical Physician Assistant
1199
SC
363AS0400X
Surgical Physician Assistant
PA.0004259
CO
363AS0400X
Surgical Physician Assistant
PA0000001672
TN
363AS0400X
Surgical Physician Assistant
PA00325
MS
363AS0400X
Surgical Physician Assistant
PA0659
NV
363AS0400X
Surgical Physician Assistant
PA09999
TX
363AS0400X
Surgical Physician Assistant
PA2198
NV
363AS0400X
Surgical Physician Assistant
PA9106348
FL
Other
Enumeration date
03/02/2006
Last updated
06/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us