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NPI Code Detail

MEDICARE: MRS. JANNA COKER MS

MEDICARE: MRS. JANNA COKER MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistPCET002168GA

General Provider Information

NPI Number : 1154782928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANNA COKER MS
Provider Business Mailing Address
First Line : 110 PIPEMAKERS CIR STE 115
Second Line :
City : POOLER
State : GA
Zip : 31322-4168
Country : US
Telephone Number : 912-988-1526
Fax Number :
Provider Business Practice Location Address
First Line : 110 PIPEMAKERS CIR STE 115
Second Line :
City : POOLER
State : GA
Zip : 31322-4168
Country : US
Telephone Number : 912-988-1526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2016
Last Update Date : 03/08/2016

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Directions to “ MRS. JANNA COKER MS” Practice Location

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