Individual
HOLLEY MICHELLE COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7001 ROGERS AVE STE 200, FORT SMITH, AR 72903-4022
(479) 314-7490
(479) 314-7494
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PT2023-071
AR
Other
Enumeration date
10/27/2023
Last updated
11/16/2023
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