Individual
DR. NEYSA ALICE COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.D.
Contact information
Practice address
598 NANCY ST NW STE 150, MARIETTA, GA 30060-1377
(770) 672-5629
Mailing address
85 GOLF CREST DR STE 209, ACWORTH, GA 30101-2698
(770) 672-5629
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404268068
—
GA
Enumeration date
03/29/2009
Last updated
06/29/2024
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