Individual
NICOLE COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
569 OLD WHEELER RD, GROVETOWN, GA 30813-3054
(706) 267-3566
Mailing address
569 OLD WHEELER RD, GROVETOWN, GA 30813-3054
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012261
GA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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