Individual
WILLIAM BENJAMIN COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
206B OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-4445
(662) 534-9449
Mailing address
206B OXFORD RD, PO BOX 44, NEW ALBANY, MS 38652-3115
(662) 534-4445
(662) 534-9449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3768
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04471091
—
MS
01
—
582681044
TAX ID #
MS
Enumeration date
01/03/2007
Last updated
01/28/2011
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