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NPI Code Detail

MEDICARE: MS. KATHERINE JEAN COE PA-C

MEDICARE: MS. KATHERINE JEAN COE PA-C
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
1363A00000XPhysician AssistantPA9657GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225383938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE JEAN COE PA-C
Provider Business Mailing Address
First Line : 2900 CHAMBLEE TUCKER RD BLDG 16
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4148
Country : US
Telephone Number : 303-493-7000
Fax Number :
Provider Business Practice Location Address
First Line : 2900 CHAMBLEE TUCKER RD BLDG 16
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4148
Country : US
Telephone Number : 770-939-1288
Fax Number : 770-212-2203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 07/18/2022

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Directions to “ MS. KATHERINE JEAN COE PA-C” Practice Location

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