Individual
BRIDGET T COFFEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1455 MONTREAL RD, TUCKER, GA 30084-8100
(770) 270-3219
Mailing address
1455 MONTREAL RD, TUCKER, GA 30084-8100
(770) 270-3219
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000471
GA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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