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Individual

DR. GREGORY JUSTIN COFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 HOSPITAL BLVD STE 290, ROSWELL, GA 30076-4918
(770) 410-4661
(770) 410-4664
Mailing address
2500 HOSPITAL BLVD STE 290, ROSWELL, GA 30076-4918
(770) 410-4661
(770) 410-4664

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
78892
GA

Other

Enumeration date
05/27/2014
Last updated
10/29/2019
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