Individual
ANTOINE AKA KOFFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 RILL DR, AUGUSTA, GA 30909-1985
(678) 200-8506
Mailing address
717 RILL DR, AUGUSTA, GA 30909-1985
(678) 200-8506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN284887
GA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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