Individual
MR. EDWARD BROOKS COFFIE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 432-4444
Mailing address
1793 LIBERTY PKWY NW, ATLANTA, GA 30318-9384
(352) 455-5124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006190
GA
225X00000X
Occupational Therapist
OT16972
FL
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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