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NPI Code Detail

MEDICARE: MRS. ANGELA COKER

MEDICARE: MRS. ANGELA COKER
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
1163WC1500XCommunity Health Registered Nurse44993SC

General Provider Information

NPI Number : 1912324435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA COKER
Provider Business Mailing Address
First Line : 137 N ACLINE ST
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-2107
Country : US
Telephone Number : 843-394-8822
Fax Number : 843-394-8856
Provider Business Practice Location Address
First Line : 137 N ACLINE ST
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-2107
Country : US
Telephone Number : 843-394-8822
Fax Number : 843-394-8856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 03/21/2014

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Directions to “ MRS. ANGELA COKER ” Practice Location

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