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NPI Code Detail

MEDICARE: MRS. DARLENE MENDENHALL COYNE N.P.

MEDICARE: MRS. DARLENE MENDENHALL COYNE N.P.
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
1363LF0000XFamily Nurse PractitionerRN047904GA

General Provider Information

NPI Number : 1649267444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARLENE MENDENHALL COYNE N.P.
Provider Business Mailing Address
First Line : 1010 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30068-2108
Country : US
Telephone Number : 770-793-7302
Fax Number : 770-977-4394
Provider Business Practice Location Address
First Line : 1010 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30068-2108
Country : US
Telephone Number : 770-793-7302
Fax Number : 770-977-4394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. DARLENE MENDENHALL COYNE N.P.” Practice Location

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