Individual
JONI MARIE COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1409 W GEORGIA RD STE D, SIMPSONVILLE, SC 29680-6420
(864) 454-6500
(864) 454-6505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
116019624
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
1557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015575
—
SC
Enumeration date
07/11/2007
Last updated
04/18/2024
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