Individual
LYNNE W. COULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4951
(706) 721-7941
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
036949
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000682393A
—
GA
05
—
G36949
—
SC
Enumeration date
09/06/2006
Last updated
03/31/2011
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