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NPI Code Detail

MEDICARE: BRIA K CODER

MEDICARE: BRIA K CODER
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant11448GA

General Provider Information

NPI Number : 1245901586
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIA K CODER
Provider Business Mailing Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 404-785-7574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2021
Last Update Date : 01/12/2026

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Directions to “ BRIA K CODER ” Practice Location

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