Marqueta A Coffer
Individual provider Active NPI Case Manager/Care Coordinator · Clarkston, GA
NPI 1578081808 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1578081808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1380 Brockett PL
Clarkston, GA 30021 - Phone
- (404) 838-6662
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1380 Brockett PL
Clarkston, GA 30021
Mailing address
1380 Brockett PL
Clarkston, GA 30021-3044
Phone (404) 838-6662
Other providers in Clarkston, GA
- Mariya George Cheriyampurathu
- Patrice Gibson Chishom
- Clarkston Community Health Center, Inc.
- Clarkston Family Medicine
- Clarkston Primary & Urgent Care, LLC
- Corinthianhomwcareservices
- Kimberley Anne Crawford
- Casey C Cudmore
- Emily Howell Curia
- Samina A. Damani
All providers in Clarkston, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.