Coejac Medical Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COEJAC MEDICAL SERVICES, LLC

Practice address

4309 Augusta Rd
Garden City, GA 31408-2000

Phone

(912) 631-7204

Fax

(912) 631-7204

NPI assigned

May 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Coefield

Title

President

Phone

(912) 631-7204

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1174816599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 AUGUSTA RD",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082000",
            "telephone_number": "912-631-7204",
            "fax_number": "912-631-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 AUGUSTA RD",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082000",
            "telephone_number": "912-631-7204",
            "fax_number": "912-631-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COEJAC MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "COEFIELD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-631-7204"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carters Pharmacy Inc
• Lorelei Mercedes Charters, RPH
• City of Garden City
• Tyger Cyerra Naomi Meade Clayton, PA-C
• Paul R Cleveland, PT
• Compassionate Professional Home Care, LLC
• Concentra Health Services, Inc.
• Concentra Health Sevices, Inc.
• Ronald Exley Cook, RPH
• William D Dailey, DMD

• All providers in Garden City, GA
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.