Individual
ELISABETH MARIE OLIVER COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-1745
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-1745
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
85793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85793
MEDICAL LICENSE
GA
Enumeration date
05/11/2018
Last updated
12/10/2025
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