Individual
DAWN M COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
190 HANDLEY RD STE A, TYRONE, GA 30290-2178
(770) 997-5714
(770) 997-2844
Mailing address
190 HANDLEY RD STE A, TYRONE, GA 30290-2178
(770) 997-5714
(770) 997-2844
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002489
GA
363AS0400X
Surgical Physician Assistant
002489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218131000A
—
GA
Enumeration date
12/18/2006
Last updated
12/09/2020
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