Individual
MRS. BARBARA ELLEN COFER STANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 15TH ST, BI 5092, AUGUSTA, GA 30912-0004
(706) 721-2472
(706) 721-0211
Mailing address
310 HIGH MEADOWS PL, GROVETOWN, GA 30813-8116
(478) 494-5819
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004820
GA
Other
Enumeration date
09/29/2006
Last updated
07/08/2011
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