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NPI Code Detail

MEDICARE: LACEY COATS

MEDICARE: LACEY COATS
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
1106S00000XBehavior TechnicianGA

General Provider Information

NPI Number : 1386593234
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACEY COATS
Provider Business Mailing Address
First Line : 1050 CROWN POINTE PKWY STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30338-7702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1050 CROWN POINTE PKWY STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30338-7702
Country : US
Telephone Number : 404-952-4006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ LACEY COATS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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